| B002 |
Fisioteraphy VIP |
Operasi |
|
- |
Non Aktif |
60000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
15000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| B003 |
Fisioteraphy Kelas I |
Operasi |
|
- |
Non Aktif |
50000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
15000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| B004 |
Fisioteraphy Kelas II |
Operasi |
|
- |
Non Aktif |
40000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
15000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| B005 |
Fisioteraphy Kelas III |
Operasi |
|
- |
Non Aktif |
40000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
15000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| B006 |
Rawat Luka RJ/RI |
Operasi |
|
- |
Non Aktif |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
20000 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
20000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| B007 |
Heating 1-5 cm |
Operasi |
|
- |
Non Aktif |
30000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
5000 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
25000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| B008 |
Heating 6-15 cm |
Operasi |
|
- |
Non Aktif |
45000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
10000 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
25000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| B009 |
Heating >15 cm |
Operasi |
|
- |
Non Aktif |
55000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
15000 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
25000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| B010 |
Aff Heating 1-5 cm |
Operasi |
|
- |
Non Aktif |
30000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
5000 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
25000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| B011 |
Aff Heating 6-15 cm |
Operasi |
|
- |
Non Aktif |
45000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
10000 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
25000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| B012 |
Aff Heating >15 cm |
Operasi |
|
- |
Non Aktif |
55000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
15000 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
25000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| B013 |
Lepas Gibs Tangan |
Operasi |
|
- |
Non Aktif |
30000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
5000 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
25000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| B014 |
Lepas Gibs Kaki |
Operasi |
|
- |
Non Aktif |
40000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
10000 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
25000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| B015 |
Observasi DJJ |
Operasi |
|
- |
Non Aktif |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
25000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| B016 |
Tindakan Suction |
Operasi |
|
- |
Non Aktif |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
25000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| B017 |
Tindakan Vulva Hggeu |
Operasi |
|
- |
Non Aktif |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
40000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| B018 |
Tindakan Observasi Persalinan per hari |
Operasi |
|
- |
Non Aktif |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
50000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| B019 |
Blood warmer |
Operasi |
|
- |
Non Aktif |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
50000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| B020 |
Observasi TTV |
Operasi |
|
- |
Non Aktif |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
50000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| B021 |
Breas Care |
Operasi |
|
- |
Non Aktif |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
50000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C084 |
Curettage/Kuretase di VK Dengan Penyulit Oleh Dokter Spesialis Kelas I |
Operasi |
|
- |
Non Aktif |
1550000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
0 |
0 |
0 |
0 |
325000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C085 |
Curettage/Kuretase di VK Dengan Penyulit Oleh Dokter Spesialis Kelas II |
Operasi |
|
- |
Non Aktif |
1250000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
0 |
0 |
0 |
0 |
300000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C086 |
Curettage/Kuretase di VK Dengan Penyulit Oleh Dokter Spesialis Kelas III |
Operasi |
|
- |
Non Aktif |
1100000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
0 |
0 |
0 |
0 |
275000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C087 |
Curettage/Kuretase di VK Dengan Penyulit Oleh Dokter Spesialis Kelas VIP |
Operasi |
|
- |
Non Aktif |
1800000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C088 |
Curettage/Kuretase di VK Tanpa penyulit Oleh Dokter Spesialis Kelas I |
Operasi |
|
- |
Non Aktif |
900000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
0 |
0 |
0 |
0 |
325000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C089 |
Curettage/Kuretase di VK Tanpa penyulit Oleh Dokter Spesialis Kelas II |
Operasi |
|
- |
Non Aktif |
750000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
0 |
0 |
0 |
0 |
300000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C090 |
Curettage/Kuretase di VK Tanpa penyulit Oleh Dokter Spesialis Kelas III |
Operasi |
|
- |
Non Aktif |
550000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
0 |
0 |
0 |
0 |
275000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C091 |
Curettage/Kuretase di VK Tanpa penyulit Oleh Dokter Spesialis Kelas VIP |
Operasi |
|
- |
Non Aktif |
1250000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C448 |
Persalinan Dengan Forcep Dengan Penyulit Kelas I Oleh Dokter Spesialis |
Operasi |
|
- |
Non Aktif |
1800000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
130000 |
0 |
0 |
0 |
0 |
0 |
0 |
520000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C449 |
Persalinan Dengan Forcep Dengan Penyulit Kelas II Oleh Dokter Spesialis |
Operasi |
|
- |
Non Aktif |
1650000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
110000 |
0 |
0 |
0 |
0 |
0 |
0 |
440000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C450 |
Persalinan Dengan Forcep Dengan Penyulit Kelas III Oleh Dokter Spesialis |
Operasi |
|
- |
Non Aktif |
1550000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C451 |
Persalinan Dengan Forcep Dengan Penyulit Kelas VIP Oleh Dokter Spesialis |
Operasi |
|
- |
Non Aktif |
2000000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
170000 |
0 |
0 |
0 |
0 |
0 |
0 |
680000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C452 |
Persalinan Dengan Forcep Tanpa penyulit Kelas I Oleh Dokter Spesialis |
Operasi |
|
- |
Non Aktif |
1550000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
130000 |
0 |
0 |
0 |
0 |
0 |
0 |
520000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C453 |
Persalinan Dengan Forcep Tanpa penyulit Kelas II Oleh Dokter Spesialis |
Operasi |
|
- |
Non Aktif |
1350000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
110000 |
0 |
0 |
0 |
0 |
0 |
0 |
440000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C454 |
Persalinan Dengan Forcep Tanpa penyulit Kelas III Oleh Dokter Spesialis |
Operasi |
|
- |
Non Aktif |
1200000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C455 |
Persalinan Dengan Forcep Tanpa penyulit Kelas VIP Oleh Dokter Spesialis |
Operasi |
|
- |
Non Aktif |
1700000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
170000 |
0 |
0 |
0 |
0 |
0 |
0 |
680000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C456 |
Persalinan dengan Vacuum Ekstraksi Dengan Penyulit Kelas I Oleh Dokter Spesialis |
Operasi |
|
- |
Non Aktif |
1800000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
130000 |
0 |
0 |
0 |
0 |
0 |
0 |
520000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C457 |
Persalinan dengan Vacuum Ekstraksi Dengan Penyulit Kelas II Oleh Dokter Spesiali |
Operasi |
|
- |
Non Aktif |
1650000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
110000 |
0 |
0 |
0 |
0 |
0 |
0 |
440000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C458 |
Persalinan dengan Vacuum Ekstraksi Dengan Penyulit Kelas III Oleh Dokter Spesial |
Operasi |
|
- |
Non Aktif |
1550000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C459 |
Persalinan dengan Vacuum Ekstraksi Dengan Penyulit Kelas VIP Oleh Dokter Spesial |
Operasi |
|
- |
Non Aktif |
2000000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
170000 |
0 |
0 |
0 |
0 |
0 |
0 |
680000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C460 |
Persalinan dengan Vacuum Ekstraksi Tanpa penyulit Kelas I Oleh Dokter Spesialis |
Operasi |
|
- |
Non Aktif |
1550000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
130000 |
0 |
0 |
0 |
0 |
0 |
0 |
520000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C461 |
Persalinan dengan Vacuum Ekstraksi Tanpa penyulit Kelas II Oleh Dokter Spesialis |
Operasi |
|
- |
Non Aktif |
1350000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
110000 |
0 |
0 |
0 |
0 |
0 |
0 |
440000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C462 |
Persalinan dengan Vacuum Ekstraksi Tanpa penyulit Kelas III Oleh Dokter Spesiali |
Operasi |
|
- |
Non Aktif |
1200000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C463 |
Persalinan dengan Vacuum Ekstraksi Tanpa penyulit Kelas VIP Oleh Dokter Spesiali |
Operasi |
|
- |
Non Aktif |
1700000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
170000 |
0 |
0 |
0 |
0 |
0 |
0 |
680000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C464 |
Persalinan Spontan Dengan Penyulit Kelas I Oleh Bidan |
Operasi |
|
- |
Non Aktif |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
350000 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C465 |
Persalinan Spontan Dengan Penyulit Kelas I Oleh Dokter Spesialis |
Operasi |
|
- |
Non Aktif |
1250000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
110000 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C466 |
Persalinan Spontan Dengan Penyulit Kelas I Oleh Dokter Umum |
Operasi |
|
- |
Non Aktif |
550000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
110000 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C467 |
Persalinan Spontan Dengan Penyulit Kelas II Oleh Bidan |
Operasi |
|
- |
Non Aktif |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
325000 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C468 |
Persalinan Spontan Dengan Penyulit Kelas II Oleh Dokter Spesialis |
Operasi |
|
- |
Non Aktif |
1200000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
110000 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C469 |
Persalinan Spontan Dengan Penyulit Kelas II Oleh Dokter Umum |
Operasi |
|
- |
Non Aktif |
500000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
110000 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C470 |
Persalinan Spontan Dengan Penyulit Kelas III Oleh Bidan |
Operasi |
|
- |
Non Aktif |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
300000 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C471 |
Persalinan Spontan Dengan Penyulit Kelas III Oleh Dokter Spesialis |
Operasi |
|
- |
Non Aktif |
1150000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
110000 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C472 |
Persalinan Spontan Dengan Penyulit Kelas III Oleh Dokter Umum |
Operasi |
|
- |
Non Aktif |
450000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
110000 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C473 |
Persalinan Spontan Dengan Penyulit Kelas VIP Oleh Bidan |
Operasi |
|
- |
Non Aktif |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
550000 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C474 |
Persalinan Spontan Dengan Penyulit Kelas VIP Oleh Dokter Spesialis |
Operasi |
|
- |
Non Aktif |
1550000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
110000 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C475 |
Persalinan Spontan Dengan Penyulit Kelas VIP Oleh Dokter Umum |
Operasi |
|
- |
Non Aktif |
750000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
110000 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C476 |
Persalinan Spontan Tanpa Penyulit Kelas I Oleh Bidan |
Operasi |
|
- |
Non Aktif |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
300000 |
0 |
0 |
0 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C477 |
Persalinan Spontan Tanpa Penyulit Kelas I Oleh Dokter Spesialis |
Kebidanan |
|
- |
Non Aktif |
1000000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
0 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C478 |
Persalinan Spontan Tanpa Penyulit Kelas I Oleh Dokter Umum |
Operasi |
|
- |
Non Aktif |
450000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
0 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C479 |
Persalinan Spontan Tanpa Penyulit Kelas II Oleh Bidan |
Operasi |
|
- |
Non Aktif |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
275000 |
0 |
0 |
0 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C480 |
Persalinan Spontan Tanpa Penyulit Kelas II Oleh Dokter Spesialis |
Operasi |
|
- |
Non Aktif |
750000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
0 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C481 |
Persalinan Spontan Tanpa Penyulit Kelas II Oleh Dokter Umum |
Operasi |
|
- |
Non Aktif |
350000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
0 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C482 |
Persalinan Spontan Tanpa Penyulit Kelas III Oleh Bidan |
Operasi |
|
- |
Non Aktif |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
250000 |
0 |
0 |
0 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C483 |
Persalinan Spontan Tanpa Penyulit Kelas III Oleh Dokter Spesialis |
Operasi |
|
- |
Non Aktif |
550000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
0 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C484 |
Persalinan Spontan Tanpa Penyulit Kelas III Oleh Dokter Umum |
Kebidanan |
|
- |
Non Aktif |
225000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
0 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C485 |
Persalinan Spontan Tanpa Penyulit Kelas VIP Oleh Bidan |
Operasi |
|
- |
Non Aktif |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
500000 |
0 |
0 |
0 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C486 |
Persalinan Spontan Tanpa Penyulit Kelas VIP Oleh Dokter Spesialis |
Operasi |
|
- |
Non Aktif |
1250000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
0 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C487 |
Persalinan Spontan Tanpa Penyulit Kelas VIP Oleh Dokter Umum |
Operasi |
|
- |
Non Aktif |
550000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
0 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C751 |
Persalinan Dg Vacuum Ekstraksi Tanpa penyulit Kelas I Oleh Dokter Spesialis + BS |
Operasi |
|
- |
Non Aktif |
1550000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
130000 |
0 |
0 |
300000 |
0 |
0 |
0 |
520000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C752 |
Persalinan Dg Vacuum Ekstraksi Dg Penyulit Kelas I Oleh Dokter Spesialis + BS |
Operasi |
|
- |
Non Aktif |
1800000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
130000 |
0 |
0 |
300000 |
0 |
0 |
0 |
520000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C753 |
Persalinan Dg Vacuum Ekstraksi Dg Penyulit Kelas II Oleh Dokter Spesialis + BS |
Operasi |
|
- |
Non Aktif |
1650000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
110000 |
0 |
0 |
300000 |
0 |
0 |
0 |
440000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C754 |
Persalinan Dg Vacuum Ekstraksi Dg Penyulit Kelas III Oleh Dokter Spesialis + BS |
Operasi |
|
- |
Non Aktif |
1550000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
100000 |
0 |
0 |
300000 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C755 |
Persalinan Dg Vacuum Ekstraksi Dg Penyulit Kelas VIP Oleh Dokter Spesialis + BS |
Operasi |
|
- |
Non Aktif |
2000000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
170000 |
0 |
0 |
300000 |
0 |
0 |
0 |
680000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C756 |
Persalinan Dg Vacuum Ekstraksi Tanpa penyulit Kelas II Oleh Dokter Spesialis + B |
Operasi |
|
- |
Non Aktif |
1350000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
110000 |
0 |
0 |
300000 |
0 |
0 |
0 |
440000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C757 |
Persalinan Dg Vacuum Ekstraksi Tanpa penyulit Kelas III Oleh Dokter Spesialis + |
Operasi |
|
- |
Non Aktif |
1200000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
100000 |
0 |
0 |
300000 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C758 |
Persalinan Dg Vacuum Ekstraksi Tanpa penyulit Kelas VIP Oleh Dokter Spesialis + |
Operasi |
|
- |
Non Aktif |
1700000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
170000 |
0 |
0 |
300000 |
0 |
0 |
0 |
680000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C759 |
Persalinan Spontan Dg Penyulit Kelas I Oleh Dokter Spesialis + BS |
Operasi |
|
- |
Non Aktif |
1250000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
110000 |
0 |
0 |
300000 |
0 |
0 |
0 |
550000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C760 |
Persalinan Spontan Dg Penyulit Kelas I Oleh Dokter Umum + BS |
Operasi |
|
- |
Non Aktif |
550000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
110000 |
0 |
0 |
300000 |
0 |
0 |
0 |
550000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C761 |
Persalinan Spontan Dg Penyulit Kelas II Oleh Dokter Spesialis + BS |
Operasi |
|
- |
Non Aktif |
1200000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
110000 |
0 |
0 |
300000 |
0 |
0 |
0 |
550000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C762 |
Persalinan Spontan Dg Penyulit Kelas II Oleh Dokter Umum + BS |
Operasi |
|
- |
Non Aktif |
500000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
110000 |
0 |
0 |
300000 |
0 |
0 |
0 |
550000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C763 |
Persalinan Spontan Dg Penyulit Kelas III Oleh Dokter Spesialis + BS |
Operasi |
|
- |
Non Aktif |
1150000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
110000 |
0 |
0 |
300000 |
0 |
0 |
0 |
550000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C764 |
Persalinan Spontan Dg Penyulit Kelas III Oleh Dokter Umum + BS |
Operasi |
|
- |
Non Aktif |
450000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
110000 |
0 |
0 |
300000 |
0 |
0 |
0 |
550000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C765 |
Persalinan Spontan Dg Penyulit Kelas VIP Oleh Dokter Spesialis + BS |
Operasi |
|
- |
Non Aktif |
1550000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
110000 |
0 |
0 |
300000 |
0 |
0 |
0 |
550000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C766 |
Persalinan Spontan Dg Penyulit Kelas VIP Oleh Dokter Umum + BS |
Operasi |
|
- |
Non Aktif |
750000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
110000 |
0 |
0 |
300000 |
0 |
0 |
0 |
550000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C767 |
Persalinan Spontan Tanpa Penyulit Kelas I Oleh Dokter Spesialis + BS |
Operasi |
|
- |
Non Aktif |
1000000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
300000 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C768 |
Persalinan Spontan Tanpa Penyulit Kelas I Oleh Dokter Umum + BS |
Operasi |
|
- |
Non Aktif |
450000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
300000 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C769 |
Persalinan Spontan Tanpa Penyulit Kelas II Oleh Dokter Spesialis + BS |
Operasi |
|
- |
Non Aktif |
750000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
300000 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C770 |
Persalinan Spontan Tanpa Penyulit Kelas II Oleh Dokter Umum + BS |
Operasi |
|
- |
Non Aktif |
350000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
300000 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C771 |
Persalinan Spontan Tanpa Penyulit Kelas III Oleh Dokter Spesialis + BS |
Operasi |
|
- |
Non Aktif |
550000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
300000 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C772 |
Persalinan Spontan Tanpa Penyulit Kelas III Oleh Dokter Umum + BS |
Operasi |
|
- |
Non Aktif |
225000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
300000 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C773 |
Persalinan Spontan Tanpa Penyulit Kelas VIP Oleh Dokter Spesialis + BS |
Operasi |
|
- |
Non Aktif |
1250000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
300000 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| C774 |
Persalinan Spontan Tanpa Penyulit Kelas VIP Oleh Dokter Umum + BS |
Operasi |
|
- |
Non Aktif |
550000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
80000 |
0 |
0 |
300000 |
0 |
0 |
0 |
400000 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| J-4-10-I-1 |
KISTA FIBROSIS (RINGAN) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
586000 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
234400 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| J-4-10-I-2 |
KISTA FIBROSIS (RINGAN) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
502280 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
200912 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| J-4-10-I-3 |
KISTA FIBROSIS (RINGAN) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
418580 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
167432 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| J-4-10-II-1 |
KISTA FIBROSIS (SEDANG) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
1210240 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
484096 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| J-4-10-II-2 |
KISTA FIBROSIS (SEDANG) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
1037360 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
414944 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| J-4-10-II-3 |
KISTA FIBROSIS (SEDANG) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
864460 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
345784 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| J-4-10-III-1 |
KISTA FIBROSIS (BERAT) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
1830920 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
732368 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| J-4-10-III-2 |
KISTA FIBROSIS (BERAT) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
1569360 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
627744 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| J-4-10-III-3 |
KISTA FIBROSIS (BERAT) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
1307800 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
523120 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-12-I-1 |
PROSEDUR HERNIA TIDAK TERMASUK INGUINAL & FEMORAL (RINGAN) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
653720 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
261488 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-12-I-2 |
PROSEDUR HERNIA TIDAK TERMASUK INGUINAL & FEMORAL (RINGAN) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
560340 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
224136 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-12-I-3 |
PROSEDUR HERNIA TIDAK TERMASUK INGUINAL & FEMORAL (RINGAN) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
466940 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
186776 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-12-II-1 |
PROSEDUR HERNIA TIDAK TERMASUK INGUINAL & FEMORAL (SEDANG) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
850240 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
340096 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-12-II-2 |
PROSEDUR HERNIA TIDAK TERMASUK INGUINAL & FEMORAL (SEDANG) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
728780 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
291512 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-12-II-3 |
PROSEDUR HERNIA TIDAK TERMASUK INGUINAL & FEMORAL (SEDANG) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
607320 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
242928 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-12-III-1 |
PROSEDUR HERNIA TIDAK TERMASUK INGUINAL & FEMORAL (BERAT) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
1684460 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
673784 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-12-III-2 |
PROSEDUR HERNIA TIDAK TERMASUK INGUINAL & FEMORAL (BERAT) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
1443820 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
577528 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-12-III-3 |
PROSEDUR HERNIA TIDAK TERMASUK INGUINAL & FEMORAL (BERAT) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
1203180 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
481272 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-13-I-1 |
PROSEDUR APPENDIK (RINGAN) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
737260 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
294904 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-13-I-2 |
PROSEDUR APPENDIK (RINGAN) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
631940 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
252776 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-13-I-3 |
PROSEDUR APPENDIK (RINGAN) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
526620 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
210648 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-13-II-1 |
PROSEDUR APPENDIK (SEDANG) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
811000 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
324400 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-13-II-2 |
PROSEDUR APPENDIK (SEDANG) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
695140 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
278056 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-13-II-3 |
PROSEDUR APPENDIK (SEDANG) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
579280 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
231712 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-13-III-1 |
PROSEDUR APPENDIK (BERAT) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
818360 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
327344 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-13-III-2 |
PROSEDUR APPENDIK (BERAT) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
701460 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
280584 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-13-III-3 |
PROSEDUR APPENDIK (BERAT) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
584540 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
233816 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-14-I-1 |
PROSEDUR HERNIA INGUINAL & FEMORAL (RINGAN) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
1196440 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
478576 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-14-I-2 |
PROSEDUR HERNIA INGUINAL & FEMORAL (RINGAN) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
1025520 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
410208 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-14-I-3 |
PROSEDUR HERNIA INGUINAL & FEMORAL (RINGAN) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
854600 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
341840 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-14-II-1 |
PROSEDUR HERNIA INGUINAL & FEMORAL (SEDANG) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
1402220 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
560888 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-14-II-2 |
PROSEDUR HERNIA INGUINAL & FEMORAL (SEDANG) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
1201900 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
480760 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-14-II-3 |
PROSEDUR HERNIA INGUINAL & FEMORAL (SEDANG) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
1001580 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
400632 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-14-III-1 |
PROSEDUR HERNIA INGUINAL & FEMORAL (BERAT) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
2203060 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
881224 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-14-III-2 |
PROSEDUR HERNIA INGUINAL & FEMORAL (BERAT) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
1888340 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
755336 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-14-III-3 |
PROSEDUR HERNIA INGUINAL & FEMORAL (BERAT) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
1573620 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
629448 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-50-I-1 |
PROSEDUR ANAL (RINGAN) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
1168080 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
467232 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-50-I-2 |
PROSEDUR ANAL (RINGAN) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
1001200 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
400480 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-50-I-3 |
PROSEDUR ANAL (RINGAN) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
834340 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
333736 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-50-II-1 |
PROSEDUR ANAL (SEDANG) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
1516900 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
606760 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-50-II-2 |
PROSEDUR ANAL (SEDANG) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
1300200 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
520080 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-50-II-3 |
PROSEDUR ANAL (SEDANG) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
1083500 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
433400 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-50-III-1 |
PROSEDUR ANAL (BERAT) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
2143640 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
857456 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-50-III-2 |
PROSEDUR ANAL (BERAT) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
1837420 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
734968 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| K-1-50-III-3 |
PROSEDUR ANAL (BERAT) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
1531180 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
612472 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| L-1-50-I-1 |
PROSEDUR PADA PAYUDARA (RINGAN) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
1282160 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
512864 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| L-1-50-I-2 |
PROSEDUR PADA PAYUDARA (RINGAN) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
1099000 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
439600 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| L-1-50-I-3 |
PROSEDUR PADA PAYUDARA (RINGAN) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
915820 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
366328 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| L-1-50-II-1 |
PROSEDUR PADA PAYUDARA (SEDANG) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
2063500 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
825400 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| L-1-50-II-2 |
PROSEDUR PADA PAYUDARA (SEDANG) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
1768720 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
707488 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| L-1-50-II-3 |
PROSEDUR PADA PAYUDARA (SEDANG) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
1473940 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
589576 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| L-1-50-III-1 |
PROSEDUR PADA PAYUDARA (BERAT) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
2951640 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
1180656 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| L-1-50-III-2 |
PROSEDUR PADA PAYUDARA (BERAT) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
2529980 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
1011992 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| L-1-50-III-3 |
PROSEDUR PADA PAYUDARA (BERAT) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
2108320 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
843328 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| L1001 |
Angkat Implan Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1002 |
Angkat Wire Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1003 |
Apeks Reseksi Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1004 |
Bedah Flap Sederhana Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1005 |
Biopsi Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1006 |
Biopsi Ekstirpasi < 2 cm Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1007 |
Biopsi Insisi Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1008 |
Biopsi Uterovaginal Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1009 |
Bulektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1010 |
Chalazion Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1011 |
Condiloma Accuminata Kecil Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1012 |
Deepening Sulcus Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1013 |
Dermabrasi Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1014 |
Eksisi Epulis Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1015 |
Eksisi Granuloma Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1016 |
Eksisi Keloid 2 ? 5 cm tanpa Skin Graft Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1017 |
Eksisi Kista Atheroma > 2 cm Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1018 |
Eksisi Mucocele Intra Oral Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1019 |
Eksisi Neuro Fibroma Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1020 |
Eksisi Nevus < 2 cm Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1021 |
Eksisi Skin Tag Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1022 |
Eksisi Tumor Kulit < 2 cm tanpa Skin Graft Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1023 |
Ekstirpasi Ganglion > 2 cm Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1024 |
Ekstirpasi Hordeolum Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1025 |
Ekstirpasi Kista Radikuler Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1026 |
Ekstirpasi Lipoma > 2 cm Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1027 |
Ekstraksi Corpus Alenium Eksploratif Pembedahan Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1028 |
Ekstraksi Kuku Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1029 |
Ekstraksi Polip Telinga Besar Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1030 |
Ekstraksi Uretrolithiasis glans Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1031 |
Elektrokauterisasi kondiloma sedikit Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1032 |
Fistulektomi Intra Oral Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1033 |
Frenectomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1034 |
Geneoscopy Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1035 |
Ginggivektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1036 |
Insisi Abses Besar > 5 cm Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1037 |
Insisi Abses Fistel Preaurkularis Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1038 |
Insisi Abses Retroaurikularis Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1039 |
Insisi Abses Submandibularis Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1040 |
Insisi Abses Vaginal Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1041 |
Insisi Drainage Abses < 5 cm Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1042 |
Insisi Drainage Abses Peritonsiler Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1043 |
Insisi Drainage Abses Septum Hidung Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1044 |
Jahit Luka Palpebra Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1045 |
Keratometri Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1046 |
Krikotirostomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1047 |
Krikotirotomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1048 |
Lobuloplasti 1 Telinga Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1049 |
Marsupialisasi Ranula Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1050 |
Mucocele Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1051 |
Nekrotomi < 5cm Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1052 |
Odontectomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1053 |
Operculectomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1054 |
Parasintesa Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1055 |
Pasang dan lepas Implant Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1056 |
Penutupan Oroantral Fistula Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1057 |
Punksi Aspirasi Othaematoma Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1058 |
Reparasi Luka Robek Sederhana < 5 cm Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1059 |
Reposisi Sederhana Jari Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1060 |
Sirkumsisi Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L1061 |
Tandur Kulit < 1 cm Kelas VIP |
Operasi |
|
- |
Non Aktif |
840000 |
0 |
0 |
162000 |
126000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
72000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2001 |
Amputasi Jari Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2002 |
Abses Douglas/Punksi Drain Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2003 |
AV Shunt Cimino Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2004 |
Biopsi Ca Penis Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2005 |
Biopsi Kecil Mata Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2006 |
Biopsi Prostat Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2007 |
Biopsi Saraf Kutaneus/Otot Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2008 |
Cimono Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2009 |
Debrediment pada Luka Bakar Grade II <50 % Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2010 |
Eksisi ganglion poplitea Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2011 |
Eksisi Hemangioma < 5 cm Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2012 |
Eksisi Keloid > 5 cm tanpa Skin Graft Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2013 |
Eksisi Mamma Aberran Unilateral Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2014 |
Eksisi Tumor Kulit > 2 cm tanpa skin graft Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2015 |
Ekstirpasi Atheroma Telinga Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2016 |
Ekstirpasi Corpus Alineum dengan Narkose Umum Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2017 |
Ekstirpasi FAM < 3 cm Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2018 |
Ekstirpasi Fistel Preaurikularis Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2020 |
Ekstirpasi Fistel Preaurikularis dengan Lokal Anastesi Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2021 |
Ekstirpasi Nevus Mata Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2022 |
Ekstirpasi Polip Uterovaginal Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2023 |
Ekstraksi Benda Asing THT dalam Narkose Umum Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2024 |
Ekstraksi Kuku Multiple Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2025 |
Ekstraksi Litiasis dalam narkose Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2026 |
Her Hetching Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2027 |
Insisis Hematoma Vulva Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2028 |
Kuret Kondiloma Acuminatum Banyak Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2029 |
Marsupialisasi Bartholini Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2030 |
Mikrokuret Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2031 |
MOW/Sterilisasi/Tubektomi dgn Lokal Anastesi Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2032 |
Nefrostomi Percutan Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2034 |
Operasi Tumor Jinak Vulva Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2035 |
Papilopa Mata Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2036 |
Pasang Mini WSD Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2037 |
Pasang WSD Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2038 |
Probing Duktus Lakrimalis Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2039 |
Pteregium Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2040 |
Repair Tendon Sederhana Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2041 |
Reparasi Jaringan Parut sederhana Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2042 |
Reparasi Luka Robek Sederhana > 5 cm Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2043 |
Reposisi Faktur/Dislokasi dalam Narkose Umum Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2044 |
Seluruh Tindakan Sederhana dalam Narkose Umum Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2045 |
Sirkumsisi dengan Phymosis Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2046 |
Tracheostomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2047 |
Vasektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2048 |
Vena Sectie Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L2049 |
Veruka Vulgaris Sedang Kelas VIP |
Operasi |
|
- |
Non Aktif |
1190000 |
0 |
0 |
229500 |
178500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
800000 |
102000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3001 |
Adeniodectomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3002 |
Amputasi Tangan atau Kaki Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3003 |
Apendektomi Simple Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3004 |
Bedah Flap Total Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3005 |
Biopsi Tumor Buli Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3006 |
BN/Ceilin?s Knife Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3007 |
Debrediment Fraktur Terbuka Grade I ? II Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3008 |
Debridement pada Luka Bakar Grade II > 50 % Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3009 |
Eksisi Chordae Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3010 |
Eksisi Kelenjar Submandibula Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3011 |
Eksisi Keloid > 5 cm dengan Skin Graft Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3012 |
Eksisi Tumor Kulit > 2 cm dengan Skin Graft Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3013 |
Eksplorasi Vagina Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3014 |
Ekstirpasi FAM > 3 cm Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3015 |
Ekstirpasi Kista ovarium < 5 cm Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3016 |
Ekstirpasi Mioma Geburt Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3017 |
Ekstirpasi Tumor Intra Oral Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3018 |
Ekstraksi Corpus Alineum THT (Sulit) Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3019 |
Ekstraksi Oorpolip (polip telinga) Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3020 |
Ekstraksi Polip Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3021 |
Ekstraksi Transokasi IUD Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3022 |
Enucleasi Kista Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3023 |
Excochilasi Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3024 |
Fiksasi Eksterna Sederhana Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3025 |
Fiksasi Interna Sederhana Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3026 |
Fistulektomi anus tanpa Penyulit Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3027 |
Flap Konjuctiva Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3028 |
Foto Coagulasi Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3029 |
Hidrotubasi Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3030 |
ICCE/ECCE Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3031 |
Insisi THT Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3032 |
Irigasi Sinus Maksilaris Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3033 |
Kolporafi Posterior/Perioneoplasty Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3034 |
Konisasi Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3035 |
Koreksi Priapismus Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3036 |
Kuretase Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3037 |
Labioptasti Unilateral Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3038 |
Laparoskopki Percobaan Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3039 |
Laparoskopki Sterilisasi Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3040 |
Laparotomi Sterilisasi Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3041 |
Lepas DJ Stent/Benda Asing Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3042 |
Lepas Plate Post ORIF Tulang Kecil Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3043 |
Meatotomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3044 |
MOW/Sterilisasi/Tubektomi dgn Narkose Umum Kelas VIP |
Operasi |
|
- |
Non Aktif |
2000000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
600000 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3045 |
Odontectomy lebih dari 2 elemen Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3046 |
Open Cystostomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3047 |
Operasi Hernia tanpa Penyulit Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3048 |
Operasi Hidrokel Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3049 |
Operasi Kelainan Jari Sederhana Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3050 |
Orchidektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3051 |
Parasintesa Mata Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3052 |
Pembukaan Hidung Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3053 |
Perineostomy Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3054 |
Potong Flap Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3055 |
Punksi Cairan Otak Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3056 |
Release Adhesi jari/telinga Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3057 |
Release Kontraktur tanpa Skin Graft Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3058 |
Repair Arteri Radialis/sederajat Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3059 |
Repair Luka Robek Sederhana pada Wajah Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3060 |
Reparasi Fistula Uretra Pasca Uretroplasti Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3061 |
Reparasi Luka Robek Kompleks Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3062 |
Reposisi Faktur Sederhana Tulang Hidung Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3063 |
Reposisi Tulang Hidung Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3064 |
Reposisi Uterus Pervaginam Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3065 |
Reshaping Torus/Tumor Tulang Intra Oral Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3066 |
Sirklase Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3067 |
Sistoskopi Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3068 |
Tandur Kulit Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3069 |
Tarsotomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3070 |
Terapi sklerosing pada Hemorrhoid Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3071 |
Tonsilektomi/Adenoidektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3072 |
Tumor Konjungtiva Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3073 |
Tumor Palpebra Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3074 |
Turbinektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3075 |
Varicocelektomi/Palomo Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3076 |
Vesicolithotomi (Sectio Alta) Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L3077 |
Eksplorasi Ocular/bola mata Kelas VIP |
Operasi |
|
- |
Non Aktif |
2590000 |
0 |
0 |
499500 |
388500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1800000 |
222000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4001 |
Ablasio Retina Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4002 |
Adenoidektomi + Tonsilektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4003 |
Adenolisis Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4004 |
Amputasi Serviks Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4005 |
Amputasi Transmedular Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4006 |
Amputasi tungkal Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4007 |
Angkat Pen/Screw Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4008 |
Anastomosis Ureter Unilateral Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4009 |
Apendektomi per Laparotomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4010 |
Argon Laser Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4011 |
Arthodosis HIP/Knee/Elbow Joint Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4012 |
Arthroscopy Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4013 |
Atrostomi + Adensidektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4014 |
Bedah Flap Regional Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4015 |
Biopsi Ginjal Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4016 |
Blok Resectie Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4017 |
Bronschoscopy Rigid Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4018 |
Caldwell Luc Anthrostomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4019 |
Cholecystektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4020 |
Congenital Fornix Plastik Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4021 |
Cryosurgeri Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4022 |
Cyclodia Termi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4023 |
Cystektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4024 |
Debridement Fraktur Terbuka Grade III Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4025 |
Debridement Luka Bakar Grade III > 10 % Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4026 |
Desitio Katarak Sekunder Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4027 |
Desitio Lentis Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4028 |
Disartikulasi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4029 |
Divertikulektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4030 |
Drainage Periureter Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4031 |
Eksentrasi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4032 |
Eksisi Duktus/Kista Urachus Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4033 |
Eksisi Hemangioma Kompleks Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4034 |
Eksisi Kista Ductus Tiroglosus Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4035 |
Eksisi Myelokel Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4036 |
Eksisi Tumor Intra Adomen tanpa Penyulit Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4037 |
Eksisi Tumor Jaringan Lunak dengan Penyulit Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4038 |
Eksisi Tumor Kulit Wajah dengan Graft Kulit Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4039 |
Eksplorasi Abses Parafaringeal Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4040 |
Eksplorasi Kista Branchial Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4041 |
Eksplorasi Kista Tiroid Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4042 |
Ekstraksi Katarak Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4043 |
Enuideasi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4044 |
Ethmoidektomi (Intranasal) Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4045 |
Extirpasi Plunging Ranula Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4046 |
Eviserasi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4047 |
Fistulektomi dengan Penyulit Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4048 |
Fraktur Rahang Sederhana Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4049 |
Gastrostomy/Feeding Jejunostomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4050 |
Glosektomi Totalis Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4051 |
Graft Kulit < 20 cm Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4052 |
Graft Pembuluh Darah Perifer Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4053 |
Harthmann?s Operation Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4054 |
Hemiglossektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4055 |
Hemimandibulektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4056 |
Hemorrhoidektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4057 |
Hepatorrhapi Sederhana Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4058 |
Hernia dengan Komplikasi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4059 |
Histerektomi Partial Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4060 |
Internal Urethrotomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4061 |
Iridektomi Perifer, Sektoral Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4062 |
Isthmolobektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4063 |
Isthobektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4064 |
Kehamilan Ektopik Terganggu (KET) Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4065 |
Kista Ovarium Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4066 |
Kolesistektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4067 |
Kolostomi/Ileostomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4068 |
Kolpodeksis Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4069 |
Koreksi Ekstropion/Entropion Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4070 |
Labioplasti Bilateral Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4071 |
Laparotomi Eksplorasi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4072 |
Maksilektomi Partialis Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4073 |
Manchester Fortegil Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4074 |
Mandibulektomi Marginalis Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4075 |
Mastektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4076 |
Miomektomi Simple Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4077 |
Myringoplasti Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4078 |
Nefrektomi Partial Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4079 |
Nefrektomi/Nefrorrhapi Unilateral Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4080 |
Nefrostomi terbuka Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4081 |
Nefro Ureterektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4082 |
Nefrolithotomi/Nefrostomi Unilateral Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4083 |
Open Prostatectomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4084 |
Open Renal Biopsi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4085 |
Operasi Intusussepsi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4086 |
Operasi Mikrotia Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4087 |
Operasi pada Osteomielitis Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4088 |
Operasi pada Torsio Testis Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4089 |
Operasi Sedang dengan Penyulit/ Pasang Alat Khusus Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4090 |
Operasi Tumor Ganas Ovarium Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4091 |
Operasi Tumor Jinak Ovarium Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4092 |
Orchidectomi Radikal Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4093 |
Orchidectomi Subkapsuler Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4094 |
Orchidectomi Ligasi Tinggi bilateral Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4095 |
Orchidopexi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4096 |
ORIF pada Fraktur tulang besar Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4097 |
Palatoplasti Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4098 |
Pankreatektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4099 |
Paritodektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4100 |
Pemadangan Pipa Shepard Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4101 |
Penektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4102 |
Penyakit Pembuluh Darah Perifer Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4103 |
Polip Ekstraksi + Etmiodektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4104 |
Polip Ekstraksi + Irigasi Sinus maksilaris Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4105 |
Potong Flap kompleks Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4106 |
Prostatektomi Retropubik Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4107 |
Regional Flap Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4108 |
Rekanalisasi Ruptural/Transkanal Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4109 |
Release Kontraktur dengan Graft Kulit Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4110 |
Repair Arteri Femoralis/Brachialis Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4111 |
Repair Fistel Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4112 |
Repair Luka Robek Kompleks pada Wajah Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4113 |
Repair Tendon Jari Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4114 |
Repair Tendon Kompleks Multiple Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4115 |
Reseksi Urachus Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4116 |
Reseksi Urachus + Anastomosis 1 Tempat Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4117 |
Ruptur Bola Mata Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4118 |
Ruptur/Fraktur Penis Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4119 |
Sachse Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4120 |
Salpingu Ophorektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4121 |
Sedot Lemak > 10 % Luas Tubuh Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4122 |
Segementektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4123 |
Seksio Sesaria Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4124 |
Septum Reseksi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4125 |
Sistoscopy + RPG + PSG DJ Stent Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4126 |
Spermatocele Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4127 |
Splenektomi Partial Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4128 |
Splenektomi/Splenorhapy Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4129 |
Suquestractomy Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4130 |
Surgaical Staging Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4131 |
Symblepharon Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4132 |
Timpano Plasti Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4133 |
Tosio Testis Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4134 |
Total/Partial glossektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4135 |
Trepaasi Trauma Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4136 |
TUR Prostat Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4137 |
TUR Tumor Buli Buli Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4138 |
Uretero Centanneostomy Unilateral Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4139 |
Ureterolitotomi Unilateral Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4140 |
Ureterostomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4141 |
Varicosektomi bilateral Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4142 |
Vasografi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L4143 |
Vitrektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
3500000 |
0 |
0 |
675000 |
525000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
300000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5001 |
Amputasi Eksisi Kista Brachiogenik Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5002 |
Amputasi Forequater Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5003 |
Amputasi Hind Quarter Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5004 |
Anastomosis Ureter Bilateral Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5005 |
Anastomosis Ureter dengan Usus Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5006 |
Angiofibroma Nasofaring Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5007 |
Anoplasty Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5008 |
Anteriox/Posterior Sklerotomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5009 |
Arthrosplasty Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5010 |
Artrodesis Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5011 |
Bladder Neck Incision Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5012 |
Bypass Pembuluh Darah besar Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5013 |
Cyclodialysa Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5014 |
Dakrio-Sistorhinostomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5015 |
Debulking Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5016 |
Dekompresia Fasialis Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5017 |
Diseksi Kelenjar Inguinal Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5018 |
Divertikulektomi Vesika Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5019 |
Eksenterasi Orbita Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5020 |
Eksisi Ensefalokel Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5021 |
Eksisi Hemanioma Kompleks Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5022 |
Eksisi Meningocele Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5023 |
Eksisi Muscle Group Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5024 |
Eksisi Tumor dengan Bedah Beku Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5025 |
Eksisi Tumor Intra Abdomen dengan Penyulit Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5026 |
Eksplorasi Koledekus dengan/tanpa pasang T Tube Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5027 |
Eksternal Ventrikular Drainase Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5028 |
Ekstirpasi Tumor Retrobulber Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5029 |
Ekstirpasi Tumor Sclap/Cranium Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5030 |
Ekstraksi Katarak dengan Mesin Phaco Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5031 |
Ekstraksi Linear Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5032 |
End to End Anastomose Ureter Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5033 |
Enukleasi Kista Ginjal Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5034 |
Extended Pyelolithektomi (Gilveme) Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5035 |
Fare Head Flap Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5036 |
Faringotomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5037 |
Fistula Eterovisika Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5038 |
Fraktur Maksila/Zygoma Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5039 |
Fratur Rahang Mutiple/Kompleks Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5040 |
Ganti Sendi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5041 |
Gastrectomi (Billroth 1 & 2) Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5042 |
Goniotomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5043 |
Gral Vena membuat A-V fistula Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5044 |
Graft Kulit > 20 cm Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5045 |
Grafting Ureter Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5046 |
Hemikolektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5047 |
Hemikolektomi parsial Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5048 |
Hemipelvektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5049 |
Hepatorrhapi Kompleks Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5050 |
Histerektomi Lokal Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5051 |
Histerektomi Vaginal Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5052 |
Hypospadia + Systostomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5053 |
Ileal Condolt (Bricker) Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5054 |
Kasaai?s Operation Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5055 |
Kehamilan Abdomen Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5056 |
Keratoplasti Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5057 |
Keratoplasty Lamelar Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5058 |
Koledoko Jejunostomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5059 |
Koreksi Fraktur Impresif Sederhana Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5060 |
Koreksi Hipospadia 1 tahap Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5061 |
Koreksi Impresif Fraktur Sederhana Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5062 |
Koreksi Scollosis Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5063 |
Laminektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5064 |
Laparotomi + Perlengkapan Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5065 |
Laparatomi VC Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5066 |
Laparscopy Operatif Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5067 |
Langirektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5068 |
Laringo Fisure/Eksplorasi Laring Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5069 |
Litoripsi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5070 |
Longitudinal Nefrolithotomi (Kadet) Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5071 |
Mandibulektomi Totalis Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5072 |
Mastektomi Bilateral Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5073 |
Mastoldektomi Radikal Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5074 |
Megacolon Hierchprung Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5075 |
Miles Operation Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5076 |
Miomektomi Multiple Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5077 |
Nefrektomi/Nefrorrhhapi Bilateral Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5078 |
Nefrolithotomi/Nefrostomi Bilateral Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5079 |
Nefropexie Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5080 |
Neurektomi Saraf Vidian Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5081 |
Open Nefrostomi dengan penyulit Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5082 |
Open Reduksi Fraktur/Dislokasi Lama Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5083 |
Operasi Besar Dengan Penyulit/ Pasang Alat Khusus Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5084 |
Operasi Kosmetik pada Wajah Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5085 |
Operasi pada Spondilitis Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5086 |
Operasi Perineum Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5087 |
Operasi Peyronie Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5088 |
Operasi Pullthrough Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5089 |
Operasi Vaskuler yang memerlukan Teknik Operasi Khusus Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5090 |
ORIF Multiple Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5091 |
Pankreatorrhapi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5092 |
Parotidektomi Bilateral Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5093 |
Pemasangan Implant Payudara Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5094 |
Pemasangan T Tube Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5095 |
Pembedahan Kompartemental Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5096 |
Pharyngeal Flap Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5097 |
Prnto Etmoidektomi (Ekstanasal) Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5098 |
PSA Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5099 |
Psoas Hiscth/Boari Flap Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5100 |
Pyeloplasti Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5101 |
Radikal Cystektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5102 |
Radikal Histerktomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5103 |
Radikal Mastektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5104 |
Radikal Neck Desection Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5105 |
Radikal Nefrektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5106 |
Radikal Prostatektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5107 |
Rekanalisasi Tuba Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5108 |
Rekonstruksi Blassemeck Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5109 |
Rekonstruksi Defek Kompleks Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5110 |
Rekonstruksi Payudara Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5111 |
Rekonstruksi Vesica Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5112 |
Release CTEV Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5113 |
Repair Aneri Femoralis/Brachialis Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5114 |
Reparasi Fistula Vesiko Vaginal Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5115 |
Reparasi Kontraktur Kompleks Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5116 |
Reparasi/Rekontruksi Wajah kompleks Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5117 |
Reseksi Adenomiosis Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5118 |
Reseksi Partial Vesika Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5119 |
Revisi Drain VP Shunt Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5120 |
Rinotomi Lateralis Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5121 |
Rupture Uteri Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5122 |
Sachse (Complicated) Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5123 |
Salpingo Ophorektomi Bilateral Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5124 |
Sectio Sesaria Post SC + Tubektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5125 |
Seksio Cesaria + Histerektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5126 |
Splenektomi/Splenorrhapi Bilateral Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5127 |
Spodilitis Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5128 |
Staged Laparotomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5129 |
Stapedektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5130 |
Tiroidektomi Total Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5131 |
Total Maksilektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5132 |
Trepanasi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5133 |
TUR Postat/Vesica Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5134 |
VP Shunt Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| L5135 |
Vulvektomi Kelas VIP |
Operasi |
|
- |
Non Aktif |
4550000 |
0 |
0 |
877500 |
682500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3500000 |
390000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1001 |
Angkat Implan Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1002 |
Angkat Wire Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1003 |
Apeks Reseksi Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1004 |
Bedah Flap Sederhana Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1005 |
Biopsi Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1006 |
Biopsi Ekstirpasi < 2 cm Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1007 |
Biopsi Insisi Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1008 |
Biopsi Uterovaginal Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1009 |
Bulektomi Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1010 |
Chalazion Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1011 |
Condiloma Accuminata Kecil Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1012 |
Deepening Sulcus Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1013 |
Dermabrasi Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1014 |
Eksisi Epulis Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1015 |
Eksisi Granuloma Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1016 |
Eksisi Keloid 2 ? 5 cm tanpa Skin Graft Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1017 |
Eksisi Kista Atheroma > 2 cm Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1018 |
Eksisi Mucocele Intra Oral Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1019 |
Eksisi Neuro Fibroma Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1020 |
Eksisi Nevus < 2 cm Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1021 |
Eksisi Skin Tag Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1022 |
Eksisi Tumor Kulit < 2 cm tanpa Skin Graft Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1023 |
Ekstirpasi Ganglion > 2 cm Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1024 |
Ekstirpasi Hordeolum Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1025 |
Ekstirpasi Kista Radikuler Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1026 |
Ekstirpasi Lipoma > 2 cm Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1027 |
Ekstraksi Corpus Alenium Eksploratif Pembedahan Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1028 |
Ekstraksi Kuku Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1029 |
Ekstraksi Polip Telinga Besar Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1030 |
Ekstraksi Uretrolithiasis glans Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1031 |
Elektrokauterisasi kondiloma sedikit Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1032 |
Fistulektomi Intra Oral Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1033 |
Frenectomi Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1034 |
Geneoscopy Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1035 |
Ginggivektomi Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1036 |
Insisi Abses Besar > 5 cm Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1037 |
Insisi Abses Fistel Preaurkularis Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1038 |
Insisi Abses Retroaurikularis Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1039 |
Insisi Abses Submandibularis Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1040 |
Insisi Abses Vaginal Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1041 |
Insisi Drainage Abses < 5 cm Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1042 |
Insisi Drainage Abses Peritonsiler Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1043 |
Insisi Drainage Abses Septum Hidung Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1044 |
Jahit Luka Palpebra Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1045 |
Keratometri Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1046 |
Krikotirostomi Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1047 |
Krikotirotomi Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1048 |
Lobuloplasti 1 Telinga Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1049 |
Marsupialisasi Ranula Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1050 |
Mucocele Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1051 |
Nekrotomi < 5cm Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1052 |
Odontectomi Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1053 |
Operculectomi Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1054 |
Parasintesa Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1055 |
Pasang dan lepas Implant Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1056 |
Penutupan Oroantral Fistula Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1057 |
Punksi Aspirasi Othaematoma Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1058 |
Reparasi Luka Robek Sederhana < 5 cm Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1059 |
Reposisi Sederhana Jari Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1060 |
Sirkumsisi Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M1061 |
Tandur Kulit < 1 cm Kelas I |
Operasi |
|
- |
Non Aktif |
525000 |
0 |
0 |
101250 |
78750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
380000 |
45000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2001 |
Amputasi Jari Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2002 |
Abses Douglas/Punksi Drain Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2003 |
AV Shunt Cimino Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2004 |
Biopsi Ca Penis Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2005 |
Biopsi Kecil Mata Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2006 |
Biopsi Prostat Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2007 |
Biopsi Saraf Kutaneus/Otot Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2008 |
Cimono Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2009 |
Debrediment pada Luka Bakar Grade II <50 % Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2010 |
Eksisi ganglion poplitea Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2011 |
Eksisi Hemangioma < 5 cm Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2012 |
Eksisi Keloid > 5 cm tanpa Skin Graft Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2013 |
Eksisi Mamma Aberran Unilateral Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2014 |
Eksisi Tumor Kulit > 2 cm tanpa skin graft Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2015 |
Ekstirpasi Atheroma Telinga Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2016 |
Ekstirpasi Corpus Alineum dengan Narkose Umum Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2017 |
Ekstirpasi FAM < 3 cm Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2018 |
Ekstirpasi Fistel Preaurikularis Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2020 |
Ekstirpasi Fistel Preaurikularis dengan Lokal Anastesi Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2021 |
Ekstirpasi Nevus Mata Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2022 |
Ekstirpasi Polip Uterovaginal Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2023 |
Ekstraksi Benda Asing THT dalam Narkose Umum Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2024 |
Ekstraksi Kuku Multiple Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2025 |
Ekstraksi Litiasis dalam narkose Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2026 |
Her Hetching Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2027 |
Insisis Hematoma Vulva Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2028 |
Kuret Kondiloma Acuminatum Banyak Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2029 |
Marsupialisasi Bartholini Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2030 |
Mikrokuret Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2031 |
MOW/Sterilisasi/Tubektomi dgn Lokal Anastesi Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2032 |
Nefrostomi Percutan Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2034 |
Operasi Tumor Jinak Vulva Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2035 |
Papilopa Mata Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2036 |
Pasang Mini WSD Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2037 |
Pasang WSD Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2038 |
Probing Duktus Lakrimalis Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2039 |
Pteregium Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2040 |
Repair Tendon Sederhana Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2041 |
Reparasi Jaringan Parut sederhana Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2042 |
Reparasi Luka Robek Sederhana > 5 cm Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2043 |
Reposisi Faktur/Dislokasi dalam Narkose Umum Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2044 |
Seluruh Tindakan Sederhana dalam Narkose Umum Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2045 |
Sirkumsisi dengan Phymosis Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2046 |
Tracheostomi Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2047 |
Vasektomi Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2048 |
Vena Sectie Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M2049 |
Veruka Vulgaris Sedang Kelas I |
Operasi |
|
- |
Non Aktif |
910000 |
0 |
0 |
175500 |
136500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
78000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3001 |
Adeniodectomi Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3002 |
Amputasi Tangan atau Kaki Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3003 |
Apendektomi Simple Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3004 |
Bedah Flap Total Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3005 |
Biopsi Tumor Buli Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3006 |
BN/Ceilin?s Knife Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3007 |
Debrediment Fraktur Terbuka Grade I ? II Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3008 |
Debridement pada Luka Bakar Grade II > 50 % Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3009 |
Eksisi Chordae Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3010 |
Eksisi Kelenjar Submandibula Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3011 |
Eksisi Keloid > 5 cm dengan Skin Graft Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3012 |
Eksisi Tumor Kulit > 2 cm dengan Skin Graft Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3013 |
Eksplorasi Vagina Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3014 |
Ekstirpasi FAM > 3 cm Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3015 |
Ekstirpasi Kista ovarium < 5 cm Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3016 |
Ekstirpasi Mioma Geburt Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3017 |
Ekstirpasi Tumor Intra Oral Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3018 |
Ekstraksi Corpus Alineum THT (Sulit) Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3019 |
Ekstraksi Oorpolip (polip telinga) Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3020 |
Ekstraksi Polip Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3021 |
Ekstraksi Transokasi IUD Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3022 |
Enucleasi Kista Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3023 |
Excochilasi Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3024 |
Fiksasi Eksterna Sederhana Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3025 |
Fiksasi Interna Sederhana Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3026 |
Fistulektomi anus tanpa Penyulit Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3027 |
Flap Konjuctiva Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3028 |
Foto Coagulasi Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3029 |
Hidrotubasi Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3030 |
ICCE/ECCE Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3031 |
Insisi THT Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3032 |
Irigasi Sinus Maksilaris Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3033 |
Kolporafi Posterior/Perioneoplasty Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3034 |
Konisasi Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3035 |
Koreksi Priapismus Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3036 |
Kuretase Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3037 |
Labioptasti Unilateral Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3038 |
Laparoskopki Percobaan Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3039 |
Laparoskopki Sterilisasi Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3040 |
Laparotomi Sterilisasi Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3041 |
Lepas DJ Stent/Benda Asing Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3042 |
Lepas Plate Post ORIF Tulang Kecil Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3043 |
Meatotomi Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3044 |
MOW/Sterilisasi/Tubektomi dgn Narkose Umum Kelas I |
Operasi |
|
- |
Non Aktif |
1750000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
500000 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3045 |
Odontectomy lebih dari 2 elemen Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3046 |
Open Cystostomi Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3047 |
Operasi Hernia tanpa Penyulit Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3048 |
Operasi Hidrokel Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3049 |
Operasi Kelainan Jari Sederhana Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3050 |
Orchidektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3051 |
Parasintesa Mata Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3052 |
Pembukaan Hidung Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3053 |
Perineostomy Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3054 |
Potong Flap Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3055 |
Punksi Cairan Otak Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3056 |
Release Adhesi jari/telinga Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3057 |
Release Kontraktur tanpa Skin Graft Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3058 |
Repair Arteri Radialis/sederajat Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3059 |
Repair Luka Robek Sederhana pada Wajah Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3060 |
Reparasi Fistula Uretra Pasca Uretroplasti Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3061 |
Reparasi Luka Robek Kompleks Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3062 |
Reposisi Faktur Sederhana Tulang Hidung Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3063 |
Reposisi Tulang Hidung Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3064 |
Reposisi Uterus Pervaginam Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3065 |
Reshaping Torus/Tumor Tulang Intra Oral Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3066 |
Sirklase Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3067 |
Sistoskopi Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3068 |
Tandur Kulit Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3069 |
Tarsotomi Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3070 |
Terapi sklerosing pada Hemorrhoid Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3071 |
Tonsilektomi/Adenoidektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3072 |
Tumor Konjungtiva Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3073 |
Tumor Palpebra Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3074 |
Turbinektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3075 |
Varicocelektomi/Palomo Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3076 |
Vesicolithotomi (Sectio Alta) Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M3077 |
Eksplorasi Ocular/bola mata Kelas I |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1700000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4002 |
Adenoidektomi + Tonsilektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4003 |
Adenolisis Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4004 |
Amputasi Serviks Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4005 |
Amputasi Transmedular Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4006 |
Amputasi tungkal Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4007 |
Angkat Pen/Screw Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4008 |
Anastomosis Ureter Unilateral Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4009 |
Apendektomi per Laparotomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4010 |
Argon Laser Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4011 |
Arthodosis HIP/Knee/Elbow Joint Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4012 |
Arthroscopy Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4013 |
Atrostomi + Adensidektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4014 |
Bedah Flap Regional Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4015 |
Biopsi Ginjal Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4016 |
Blok Resectie Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4017 |
Bronschoscopy Rigid Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4018 |
Caldwell Luc Anthrostomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4019 |
Cholecystektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4020 |
Congenital Fornix Plastik Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4021 |
Cryosurgeri Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4022 |
Cyclodia Termi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4023 |
Cystektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4024 |
Debridement Fraktur Terbuka Grade III Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4025 |
Debridement Luka Bakar Grade III > 10 % Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4026 |
Desitio Katarak Sekunder Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4027 |
Desitio Lentis Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4028 |
Disartikulasi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4029 |
Divertikulektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4030 |
Drainage Periureter Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4031 |
Eksentrasi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4032 |
Eksisi Duktus/Kista Urachus Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4033 |
Eksisi Hemangioma Kompleks Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4034 |
Eksisi Kista Ductus Tiroglosus Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4035 |
Eksisi Myelokel Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4036 |
Eksisi Tumor Intra Adomen tanpa Penyulit Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4037 |
Eksisi Tumor Jaringan Lunak dengan Penyulit Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4038 |
Eksisi Tumor Kulit Wajah dengan Graft Kulit Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4039 |
Eksplorasi Abses Parafaringeal Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4040 |
Eksplorasi Kista Branchial Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4041 |
Eksplorasi Kista Tiroid Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4042 |
Ekstraksi Katarak Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4043 |
Enuideasi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4044 |
Ethmoidektomi (Intranasal) Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4045 |
Extirpasi Plunging Ranula Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4046 |
Eviserasi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4047 |
Fistulektomi dengan Penyulit Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4048 |
Fraktur Rahang Sederhana Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4049 |
Gastrostomy/Feeding Jejunostomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4050 |
Glosektomi Totalis Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4051 |
Graft Kulit < 20 cm Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4052 |
Graft Pembuluh Darah Perifer Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4053 |
Harthmann?s Operation Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4054 |
Hemiglossektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4055 |
Hemimandibulektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4056 |
Hemorrhoidektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4057 |
Hepatorrhapi Sederhana Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4058 |
Hernia dengan Komplikasi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4059 |
Histerektomi Partial Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4060 |
Internal Urethrotomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4061 |
Iridektomi Perifer, Sektoral Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4062 |
Isthmolobektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4063 |
Isthobektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4064 |
Kehamilan Ektopik Terganggu (KET) Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4065 |
Kista Ovarium Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4066 |
Kolesistektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4067 |
Kolostomi/Ileostomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4068 |
Kolpodeksis Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4069 |
Koreksi Ekstropion/Entropion Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4070 |
Labioplasti Bilateral Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4071 |
Laparotomi Eksplorasi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4072 |
Maksilektomi Partialis Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4073 |
Manchester Fortegil Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4074 |
Mandibulektomi Marginalis Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4075 |
Mastektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4076 |
Miomektomi Simple Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4077 |
Myringoplasti Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4078 |
Nefrektomi Partial Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4079 |
Nefrektomi/Nefrorrhapi Unilateral Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4080 |
Nefrostomi terbuka Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4081 |
Nefro Ureterektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4082 |
Nefrolithotomi/Nefrostomi Unilateral Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4083 |
Open Prostatectomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4084 |
Open Renal Biopsi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4085 |
Operasi Intusussepsi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4086 |
Operasi Mikrotia Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4087 |
Operasi pada Osteomielitis Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4088 |
Operasi pada Torsio Testis Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4089 |
Operasi Sedang dengan Penyulit/ Pasang Alat Khusus Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4090 |
Operasi Tumor Ganas Ovarium Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4091 |
Operasi Tumor Jinak Ovarium Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4092 |
Orchidectomi Radikal Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4093 |
Orchidectomi Subkapsuler Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4094 |
Orchidectomi Ligasi Tinggi bilateral Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4095 |
Orchidopexi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4096 |
ORIF pada Fraktur tulang besar Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4097 |
Palatoplasti Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4098 |
Pankreatektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4099 |
Paritodektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4100 |
Pemadangan Pipa Shepard Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4101 |
Penektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4102 |
Penyakit Pembuluh Darah Perifer Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4103 |
Polip Ekstraksi + Etmiodektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4104 |
Polip Ekstraksi + Irigasi Sinus maksilaris Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4105 |
Potong Flap kompleks Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4106 |
Prostatektomi Retropubik Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4107 |
Regional Flap Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4108 |
Rekanalisasi Ruptural/Transkanal Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4109 |
Release Kontraktur dengan Graft Kulit Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4110 |
Repair Arteri Femoralis/Brachialis Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4111 |
Repair Fistel Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4112 |
Repair Luka Robek Kompleks pada Wajah Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4113 |
Repair Tendon Jari Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4114 |
Repair Tendon Kompleks Multiple Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4115 |
Reseksi Urachus Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4116 |
Reseksi Urachus + Anastomosis 1 Tempat Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4117 |
Ruptur Bola Mata Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4118 |
Ruptur/Fraktur Penis Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4119 |
Sachse Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4120 |
Salpingu Ophorektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4121 |
Sedot Lemak > 10 % Luas Tubuh Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4122 |
Segementektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4123 |
Seksio Sesaria Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4124 |
Septum Reseksi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4125 |
Sistoscopy + RPG + PSG DJ Stent Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4126 |
Spermatocele Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4127 |
Splenektomi Partial Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4128 |
Splenektomi/Splenorhapy Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4129 |
Suquestractomy Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4130 |
Surgaical Staging Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4131 |
Symblepharon Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4132 |
Timpano Plasti Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4133 |
Tosio Testis Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4134 |
Total/Partial glossektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4135 |
Trepaasi Trauma Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4136 |
TUR Prostat Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4137 |
TUR Tumor Buli Buli Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4138 |
Uretero Centanneostomy Unilateral Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4139 |
Ureterolitotomi Unilateral Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4140 |
Ureterostomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4141 |
Varicosektomi bilateral Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4142 |
Vasografi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M4143 |
Vitrektomi Kelas I |
Operasi |
|
- |
Non Aktif |
2940000 |
0 |
0 |
567000 |
441000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
252000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5001 |
Amputasi Eksisi Kista Brachiogenik Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5002 |
Amputasi Forequater Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5003 |
Amputasi Hind Quarter Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5004 |
Anastomosis Ureter Bilateral Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5005 |
Anastomosis Ureter dengan Usus Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5006 |
Angiofibroma Nasofaring Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5007 |
Anoplasty Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5008 |
Anteriox/Posterior Sklerotomi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5009 |
Arthrosplasty Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5010 |
Artrodesis Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5011 |
Bladder Neck Incision Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5012 |
Bypass Pembuluh Darah besar Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5013 |
Cyclodialysa Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5014 |
Dakrio-Sistorhinostomi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5015 |
Debulking Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5016 |
Dekompresia Fasialis Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5017 |
Diseksi Kelenjar Inguinal Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5018 |
Divertikulektomi Vesika Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5019 |
Eksenterasi Orbita Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5020 |
Eksisi Ensefalokel Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5021 |
Eksisi Hemanioma Kompleks Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5022 |
Eksisi Meningocele Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5023 |
Eksisi Muscle Group Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5024 |
Eksisi Tumor dengan Bedah Beku Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5025 |
Eksisi Tumor Intra Abdomen dengan Penyulit Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5026 |
Eksplorasi Koledekus dengan/tanpa pasang T Tube Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5027 |
Eksternal Ventrikular Drainase Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5028 |
Ekstirpasi Tumor Retrobulber Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5029 |
Ekstirpasi Tumor Sclap/Cranium Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5030 |
Ekstraksi Katarak dengan Mesin Phaco Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5031 |
Ekstraksi Linear Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5032 |
End to End Anastomose Ureter Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5033 |
Enukleasi Kista Ginjal Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5034 |
Extended Pyelolithektomi (Gilveme) Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5035 |
Fare Head Flap Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5036 |
Faringotomi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5037 |
Fistula Eterovisika Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5038 |
Fraktur Maksila/Zygoma Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5039 |
Fratur Rahang Mutiple/Kompleks Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5040 |
Ganti Sendi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5041 |
Gastrectomi (Billroth 1 & 2) Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5042 |
Goniotomi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5043 |
Gral Vena membuat A-V fistula Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5044 |
Graft Kulit > 20 cm Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5045 |
Grafting Ureter Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5046 |
Hemikolektomi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5047 |
Hemikolektomi parsial Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5048 |
Hemipelvektomi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5049 |
Hepatorrhapi Kompleks Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5050 |
Histerektomi Lokal Kelas I |
Operasi |
|
- |
Non Aktif |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5051 |
Histerektomi Vaginal Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5052 |
Hypospadia + Systostomi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5053 |
Ileal Condolt (Bricker) Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5054 |
Kasaai?s Operation Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5055 |
Kehamilan Abdomen Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5056 |
Keratoplasti Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5057 |
Keratoplasty Lamelar Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5058 |
Koledoko Jejunostomi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5059 |
Koreksi Fraktur Impresif Sederhana Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5060 |
Koreksi Hipospadia 1 tahap Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5061 |
Koreksi Impresif Fraktur Sederhana Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5062 |
Koreksi Scollosis Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5063 |
Laminektomi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5064 |
Laparotomi + Perlengkapan Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5065 |
Laparatomi VC Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5066 |
Laparscopy Operatif Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5067 |
Langirektomi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5068 |
Laringo Fisure/Eksplorasi Laring Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5069 |
Litoripsi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5070 |
Longitudinal Nefrolithotomi (Kadet) Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5071 |
Mandibulektomi Totalis Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5072 |
Mastektomi Bilateral Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5073 |
Mastoldektomi Radikal Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5074 |
Megacolon Hierchprung Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5075 |
Miles Operation Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5076 |
Miomektomi Multiple Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5077 |
Nefrektomi/Nefrorrhhapi Bilateral Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5078 |
Nefrolithotomi/Nefrostomi Bilateral Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5079 |
Nefropexie Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5080 |
Neurektomi Saraf Vidian Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5081 |
Open Nefrostomi dengan penyulit Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5082 |
Open Reduksi Fraktur/Dislokasi Lama Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5083 |
Operasi Besar Dengan Penyulit/ Pasang Alat Khusus Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5084 |
Operasi Kosmetik pada Wajah Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5085 |
Operasi pada Spondilitis Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5086 |
Operasi Perineum Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5087 |
Operasi Peyronie Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5088 |
Operasi Pullthrough Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5089 |
Operasi Vaskuler yang memerlukan Teknik Operasi Khusus Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5090 |
ORIF Multiple Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5091 |
Pankreatorrhapi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5092 |
Parotidektomi Bilateral Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5093 |
Pemasangan Implant Payudara Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5094 |
Pemasangan T Tube Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5095 |
Pembedahan Kompartemental Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5096 |
Pharyngeal Flap Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5097 |
Prnto Etmoidektomi (Ekstanasal) Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5098 |
PSA Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5099 |
Psoas Hiscth/Boari Flap Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5100 |
Pyeloplasti Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5101 |
Radikal Cystektomi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5102 |
Radikal Histerktomi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5103 |
Radikal Mastektomi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5104 |
Radikal Neck Desection Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5105 |
Radikal Nefrektomi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5106 |
Radikal Prostatektomi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5107 |
Rekanalisasi Tuba Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5108 |
Rekonstruksi Blassemeck Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5109 |
Rekonstruksi Defek Kompleks Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5110 |
Rekonstruksi Payudara Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5111 |
Rekonstruksi Vesica Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5112 |
Release CTEV Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5113 |
Repair Aneri Femoralis/Brachialis Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5114 |
Reparasi Fistula Vesiko Vaginal Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5115 |
Reparasi Kontraktur Kompleks Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5116 |
Reparasi/Rekontruksi Wajah kompleks Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5117 |
Reseksi Adenomiosis Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5118 |
Reseksi Partial Vesika Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5119 |
Revisi Drain VP Shunt Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5120 |
Rinotomi Lateralis Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5121 |
Rupture Uteri Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5122 |
Sachse (Complicated) Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5123 |
Salpingo Ophorektomi Bilateral Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5124 |
Sectio Sesaria Post SC + Tubektomi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5125 |
Seksio Cesaria + Histerektomi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5126 |
Splenektomi/Splenorrhapi Bilateral Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5127 |
Spodilitis Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5128 |
Staged Laparotomi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5129 |
Stapedektomi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5130 |
Tiroidektomi Total Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5131 |
Total Maksilektomi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5132 |
Trepanasi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5133 |
TUR Postat/Vesica Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5134 |
VP Shunt Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| M5135 |
Vulvektomi Kelas I |
Operasi |
|
- |
Non Aktif |
3710000 |
0 |
0 |
715500 |
556500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
3000000 |
318000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1001 |
Angkat Implan Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1002 |
Angkat Wire Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1003 |
Apeks Reseksi Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1004 |
Bedah Flap Sederhana Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1005 |
Biopsi Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1006 |
Biopsi Ekstirpasi < 2 cm Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1007 |
Biopsi Insisi Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1008 |
Biopsi Uterovaginal Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1009 |
Bulektomi Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1010 |
Chalazion Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1011 |
Condiloma Accuminata Kecil Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1012 |
Deepening Sulcus Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1013 |
Dermabrasi Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1014 |
Eksisi Epulis Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1015 |
Eksisi Granuloma Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1016 |
Eksisi Keloid 2 ? 5 cm tanpa Skin Graft Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1017 |
Eksisi Kista Atheroma > 2 cm Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1018 |
Eksisi Mucocele Intra Oral Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1019 |
Eksisi Neuro Fibroma Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1020 |
Eksisi Nevus < 2 cm Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1021 |
Eksisi Skin Tag Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1022 |
Eksisi Tumor Kulit < 2 cm tanpa Skin Graft Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1023 |
Ekstirpasi Ganglion > 2 cm Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1024 |
Ekstirpasi Hordeolum Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1025 |
Ekstirpasi Kista Radikuler Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1026 |
Ekstirpasi Lipoma > 2 cm Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1027 |
Ekstraksi Corpus Alenium Eksploratif Pembedahan Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1028 |
Ekstraksi Kuku Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1029 |
Ekstraksi Polip Telinga Besar Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1030 |
Ekstraksi Uretrolithiasis glans Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1031 |
Elektrokauterisasi kondiloma sedikit Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1032 |
Fistulektomi Intra Oral Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1033 |
Frenectomi Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1034 |
Geneoscopy Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1035 |
Ginggivektomi Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1036 |
Insisi Abses Besar > 5 cm Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1037 |
Insisi Abses Fistel Preaurkularis Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1038 |
Insisi Abses Retroaurikularis Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1039 |
Insisi Abses Submandibularis Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1040 |
Insisi Abses Vaginal Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1041 |
Insisi Drainage Abses < 5 cm Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1042 |
Insisi Drainage Abses Peritonsiler Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1043 |
Insisi Drainage Abses Septum Hidung Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1044 |
Jahit Luka Palpebra Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1045 |
Keratometri Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1046 |
Krikotirostomi Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1047 |
Krikotirotomi Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1048 |
Lobuloplasti 1 Telinga Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1049 |
Marsupialisasi Ranula Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1050 |
Mucocele Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1051 |
Nekrotomi < 5cm Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1052 |
Odontectomi Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1053 |
Operculectomi Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1054 |
Parasintesa Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1055 |
Pasang dan lepas Implant Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1056 |
Penutupan Oroantral Fistula Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1057 |
Punksi Aspirasi Othaematoma Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1058 |
Reparasi Luka Robek Sederhana < 5 cm Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1059 |
Reposisi Sederhana Jari Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1060 |
Sirkumsisi Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N1061 |
Tandur Kulit < 1 cm Kelas II |
Operasi |
|
- |
Non Aktif |
455000 |
0 |
0 |
87750 |
68250 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
39000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2001 |
Amputasi Jari Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2002 |
Abses Douglas/Punksi Drain Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2003 |
AV Shunt Cimino Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2004 |
Biopsi Ca Penis Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2005 |
Biopsi Kecil Mata Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2006 |
Biopsi Prostat Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2007 |
Biopsi Saraf Kutaneus/Otot Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2008 |
Cimono Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2009 |
Debrediment pada Luka Bakar Grade II <50 % Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2010 |
Eksisi ganglion poplitea Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2011 |
Eksisi Hemangioma < 5 cm Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2012 |
Eksisi Keloid > 5 cm tanpa Skin Graft Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2013 |
Eksisi Mamma Aberran Unilateral Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2014 |
Eksisi Tumor Kulit > 2 cm tanpa skin graft Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2015 |
Ekstirpasi Atheroma Telinga Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2016 |
Ekstirpasi Corpus Alineum dengan Narkose Umum Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2017 |
Ekstirpasi FAM < 3 cm Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2018 |
Ekstirpasi Fistel Preaurikularis Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2020 |
Ekstirpasi Fistel Preaurikularis dengan Lokal Anastesi Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2021 |
Ekstirpasi Nevus Mata Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2022 |
Ekstirpasi Polip Uterovaginal Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2023 |
Ekstraksi Benda Asing THT dalam Narkose Umum Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2024 |
Ekstraksi Kuku Multiple Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2025 |
Ekstraksi Litiasis dalam narkose Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2026 |
Her Hetching Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2027 |
Insisis Hematoma Vulva Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2028 |
Kuret Kondiloma Acuminatum Banyak Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2029 |
Marsupialisasi Bartholini Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2030 |
Mikrokuret Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2031 |
MOW/Sterilisasi/Tubektomi dgn Lokal Anastesi Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2032 |
Nefrostomi Percutan Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2034 |
Operasi Tumor Jinak Vulva Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2035 |
Papilopa Mata Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2036 |
Pasang Mini WSD Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2037 |
Pasang WSD Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2038 |
Probing Duktus Lakrimalis Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2039 |
Pteregium Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2040 |
Repair Tendon Sederhana Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2041 |
Reparasi Jaringan Parut sederhana Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2042 |
Reparasi Luka Robek Sederhana > 5 cm Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2043 |
Reposisi Faktur/Dislokasi dalam Narkose Umum Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2044 |
Seluruh Tindakan Sederhana dalam Narkose Umum Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2045 |
Sirkumsisi dengan Phymosis Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2046 |
Tracheostomi Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2047 |
Vasektomi Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2048 |
Vena Sectie Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N2049 |
Veruka Vulgaris Sedang Kelas II |
Operasi |
|
- |
Non Aktif |
770000 |
0 |
0 |
148500 |
115500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
66000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3001 |
Adeniodectomi Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3002 |
Amputasi Tangan atau Kaki Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3003 |
Apendektomi Simple Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3004 |
Bedah Flap Total Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3005 |
Biopsi Tumor Buli Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3006 |
BN/Ceilin?s Knife Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3007 |
Debrediment Fraktur Terbuka Grade I ? II Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3008 |
Debridement pada Luka Bakar Grade II > 50 % Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3009 |
Eksisi Chordae Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3010 |
Eksisi Kelenjar Submandibula Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3011 |
Eksisi Keloid > 5 cm dengan Skin Graft Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3012 |
Eksisi Tumor Kulit > 2 cm dengan Skin Graft Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3013 |
Eksplorasi Vagina Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3014 |
Ekstirpasi FAM > 3 cm Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3015 |
Ekstirpasi Kista ovarium < 5 cm Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3016 |
Ekstirpasi Mioma Geburt Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3017 |
Ekstirpasi Tumor Intra Oral Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3018 |
Ekstraksi Corpus Alineum THT (Sulit) Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3019 |
Ekstraksi Oorpolip (polip telinga) Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3020 |
Ekstraksi Polip Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3021 |
Ekstraksi Transokasi IUD Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3022 |
Enucleasi Kista Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3023 |
Excochilasi Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3024 |
Fiksasi Eksterna Sederhana Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3025 |
Fiksasi Interna Sederhana Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3026 |
Fistulektomi anus tanpa Penyulit Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3027 |
Flap Konjuctiva Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3028 |
Foto Coagulasi Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3029 |
Hidrotubasi Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3030 |
ICCE/ECCE Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3031 |
Insisi THT Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3032 |
Irigasi Sinus Maksilaris Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3033 |
Kolporafi Posterior/Perioneoplasty Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3034 |
Konisasi Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3035 |
Koreksi Priapismus Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3036 |
Kuretase Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3037 |
Labioptasti Unilateral Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3038 |
Laparoskopki Percobaan Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3039 |
Laparoskopki Sterilisasi Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3040 |
Laparotomi Sterilisasi Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3041 |
Lepas DJ Stent/Benda Asing Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3042 |
Lepas Plate Post ORIF Tulang Kecil Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3043 |
Meatotomi Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3044 |
MOW/Sterilisasi/Tubektomi dgn Narkose Umum Kelas II |
Operasi |
|
- |
Non Aktif |
1500000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
450000 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3045 |
Odontectomy lebih dari 2 elemen Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3046 |
Open Cystostomi Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3047 |
Operasi Hernia tanpa Penyulit Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3048 |
Operasi Hidrokel Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3049 |
Operasi Kelainan Jari Sederhana Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3050 |
Orchidektomi Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3051 |
Parasintesa Mata Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3052 |
Pembukaan Hidung Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3053 |
Perineostomy Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3054 |
Potong Flap Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3055 |
Punksi Cairan Otak Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3056 |
Release Adhesi jari/telinga Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3057 |
Release Kontraktur tanpa Skin Graft Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3058 |
Repair Arteri Radialis/sederajat Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3059 |
Repair Luka Robek Sederhana pada Wajah Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3060 |
Reparasi Fistula Uretra Pasca Uretroplasti Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3061 |
Reparasi Luka Robek Kompleks Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3062 |
Reposisi Faktur Sederhana Tulang Hidung Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3063 |
Reposisi Tulang Hidung Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3064 |
Reposisi Uterus Pervaginam Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3065 |
Reshaping Torus/Tumor Tulang Intra Oral Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3066 |
Sirklase Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3067 |
Sistoskopi Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3068 |
Tandur Kulit Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3069 |
Tarsotomi Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3070 |
Terapi sklerosing pada Hemorrhoid Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3071 |
Tonsilektomi/Adenoidektomi Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3072 |
Tumor Konjungtiva Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3073 |
Tumor Palpebra Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3074 |
Turbinektomi Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3075 |
Varicocelektomi/Palomo Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3076 |
Vesicolithotomi (Sectio Alta) Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N3077 |
Eksplorasi Ocular/bola mata Kelas II |
Operasi |
|
- |
Non Aktif |
1890000 |
0 |
0 |
364500 |
283500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
162000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4001 |
Ablasio Retina Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4002 |
Adenoidektomi + Tonsilektomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4003 |
Adenolisis Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4004 |
Amputasi Serviks Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4005 |
Amputasi Transmedular Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4006 |
Amputasi tungkal Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4007 |
Angkat Pen/Screw Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4008 |
Anastomosis Ureter Unilateral Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4009 |
Apendektomi per Laparotomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4010 |
Argon Laser Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4011 |
Arthodosis HIP/Knee/Elbow Joint Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4012 |
Arthroscopy Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4013 |
Atrostomi + Adensidektomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4014 |
Bedah Flap Regional Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4015 |
Biopsi Ginjal Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4016 |
Blok Resectie Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4017 |
Bronschoscopy Rigid Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4018 |
Caldwell Luc Anthrostomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4019 |
Cholecystektomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4020 |
Congenital Fornix Plastik Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4021 |
Cryosurgeri Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4022 |
Cyclodia Termi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4023 |
Cystektomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4024 |
Debridement Fraktur Terbuka Grade III Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4025 |
Debridement Luka Bakar Grade III > 10 % Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4026 |
Desitio Katarak Sekunder Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4027 |
Desitio Lentis Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4028 |
Disartikulasi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4029 |
Divertikulektomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4030 |
Drainage Periureter Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4031 |
Eksentrasi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4032 |
Eksisi Duktus/Kista Urachus Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4033 |
Eksisi Hemangioma Kompleks Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4034 |
Eksisi Kista Ductus Tiroglosus Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4035 |
Eksisi Myelokel Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4036 |
Eksisi Tumor Intra Adomen tanpa Penyulit Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4037 |
Eksisi Tumor Jaringan Lunak dengan Penyulit Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4038 |
Eksisi Tumor Kulit Wajah dengan Graft Kulit Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4039 |
Eksplorasi Abses Parafaringeal Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4040 |
Eksplorasi Kista Branchial Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4041 |
Eksplorasi Kista Tiroid Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4042 |
Ekstraksi Katarak Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4043 |
Enuideasi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4044 |
Ethmoidektomi (Intranasal) Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4045 |
Extirpasi Plunging Ranula Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4046 |
Eviserasi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4047 |
Fistulektomi dengan Penyulit Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4048 |
Fraktur Rahang Sederhana Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4049 |
Gastrostomy/Feeding Jejunostomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4050 |
Glosektomi Totalis Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4051 |
Graft Kulit < 20 cm Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4052 |
Graft Pembuluh Darah Perifer Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4053 |
Harthmann?s Operation Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4054 |
Hemiglossektomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4055 |
Hemimandibulektomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4056 |
Hemorrhoidektomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4057 |
Hepatorrhapi Sederhana Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4058 |
Hernia dengan Komplikasi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4059 |
Histerektomi Partial Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4060 |
Internal Urethrotomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4061 |
Iridektomi Perifer, Sektoral Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4062 |
Isthmolobektomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4063 |
Isthobektomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4064 |
Kehamilan Ektopik Terganggu (KET) Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4065 |
Kista Ovarium Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4066 |
Kolesistektomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4067 |
Kolostomi/Ileostomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4068 |
Kolpodeksis Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4069 |
Koreksi Ekstropion/Entropion Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4070 |
Labioplasti Bilateral Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4071 |
Laparotomi Eksplorasi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4072 |
Maksilektomi Partialis Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4073 |
Manchester Fortegil Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4074 |
Mandibulektomi Marginalis Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4075 |
Mastektomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4076 |
Miomektomi Simple Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4077 |
Myringoplasti Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4078 |
Nefrektomi Partial Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4079 |
Nefrektomi/Nefrorrhapi Unilateral Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4080 |
Nefrostomi terbuka Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4081 |
Nefro Ureterektomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4082 |
Nefrolithotomi/Nefrostomi Unilateral Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4083 |
Open Prostatectomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4084 |
Open Renal Biopsi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4085 |
Operasi Intusussepsi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4086 |
Operasi Mikrotia Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4087 |
Operasi pada Osteomielitis Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4088 |
Operasi pada Torsio Testis Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4089 |
Operasi Sedang dengan Penyulit/ Pasang Alat Khusus Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4090 |
Operasi Tumor Ganas Ovarium Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4091 |
Operasi Tumor Jinak Ovarium Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4092 |
Orchidectomi Radikal Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4093 |
Orchidectomi Subkapsuler Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4094 |
Orchidectomi Ligasi Tinggi bilateral Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4095 |
Orchidopexi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4096 |
ORIF pada Fraktur tulang besar Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4097 |
Palatoplasti Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4098 |
Pankreatektomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4099 |
Paritodektomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4100 |
Pemadangan Pipa Shepard Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4101 |
Penektomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4102 |
Penyakit Pembuluh Darah Perifer Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4103 |
Polip Ekstraksi + Etmiodektomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4104 |
Polip Ekstraksi + Irigasi Sinus maksilaris Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4105 |
Potong Flap kompleks Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4106 |
Prostatektomi Retropubik Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4107 |
Regional Flap Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4108 |
Rekanalisasi Ruptural/Transkanal Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4109 |
Release Kontraktur dengan Graft Kulit Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4110 |
Repair Arteri Femoralis/Brachialis Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4111 |
Repair Fistel Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4112 |
Repair Luka Robek Kompleks pada Wajah Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4113 |
Repair Tendon Jari Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4114 |
Repair Tendon Kompleks Multiple Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4115 |
Reseksi Urachus Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4116 |
Reseksi Urachus + Anastomosis 1 Tempat Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4117 |
Ruptur Bola Mata Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4118 |
Ruptur/Fraktur Penis Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4119 |
Sachse Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4120 |
Salpingu Ophorektomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4121 |
Sedot Lemak > 10 % Luas Tubuh Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4122 |
Segementektomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4123 |
Seksio Sesaria Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4124 |
Septum Reseksi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4125 |
Sistoscopy + RPG + PSG DJ Stent Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4126 |
Spermatocele Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4127 |
Splenektomi Partial Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4128 |
Splenektomi/Splenorhapy Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4129 |
Suquestractomy Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4130 |
Surgaical Staging Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4131 |
Symblepharon Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4132 |
Timpano Plasti Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4133 |
Tosio Testis Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4134 |
Total/Partial glossektomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4135 |
Trepaasi Trauma Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4136 |
TUR Prostat Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4137 |
TUR Tumor Buli Buli Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4138 |
Uretero Centanneostomy Unilateral Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4139 |
Ureterolitotomi Unilateral Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4140 |
Ureterostomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4141 |
Varicosektomi bilateral Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4142 |
Vasografi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N4143 |
Vitrektomi Kelas II |
Operasi |
|
- |
Non Aktif |
2450000 |
0 |
0 |
472500 |
367500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2000000 |
210000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5001 |
Amputasi Eksisi Kista Brachiogenik Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5002 |
Amputasi Forequater Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5003 |
Amputasi Hind Quarter Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5004 |
Anastomosis Ureter Bilateral Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5005 |
Anastomosis Ureter dengan Usus Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5006 |
Angiofibroma Nasofaring Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5007 |
Anoplasty Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5008 |
Anteriox/Posterior Sklerotomi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5009 |
Arthrosplasty Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5010 |
Artrodesis Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5011 |
Bladder Neck Incision Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5012 |
Bypass Pembuluh Darah besar Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5013 |
Cyclodialysa Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5014 |
Dakrio-Sistorhinostomi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5015 |
Debulking Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5016 |
Dekompresia Fasialis Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5017 |
Diseksi Kelenjar Inguinal Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5018 |
Divertikulektomi Vesika Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5019 |
Eksenterasi Orbita Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5020 |
Eksisi Ensefalokel Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5021 |
Eksisi Hemanioma Kompleks Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5022 |
Eksisi Meningocele Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5023 |
Eksisi Muscle Group Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5024 |
Eksisi Tumor dengan Bedah Beku Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5025 |
Eksisi Tumor Intra Abdomen dengan Penyulit Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5026 |
Eksplorasi Koledekus dengan/tanpa pasang T Tube Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5027 |
Eksternal Ventrikular Drainase Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5028 |
Ekstirpasi Tumor Retrobulber Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5029 |
Ekstirpasi Tumor Sclap/Cranium Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5030 |
Ekstraksi Katarak dengan Mesin Phaco Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5031 |
Ekstraksi Linear Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5032 |
End to End Anastomose Ureter Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5033 |
Enukleasi Kista Ginjal Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5034 |
Extended Pyelolithektomi (Gilveme) Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5035 |
Fare Head Flap Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5036 |
Faringotomi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5037 |
Fistula Eterovisika Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5038 |
Fraktur Maksila/Zygoma Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5039 |
Fratur Rahang Mutiple/Kompleks Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5040 |
Ganti Sendi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5041 |
Gastrectomi (Billroth 1 & 2) Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5042 |
Goniotomi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5043 |
Gral Vena membuat A-V fistula Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5044 |
Graft Kulit > 20 cm Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5045 |
Grafting Ureter Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5046 |
Hemikolektomi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5047 |
Hemikolektomi parsial Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5048 |
Hemipelvektomi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5049 |
Hepatorrhapi Kompleks Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5050 |
Histerektomi Lokal Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5051 |
Histerektomi Vaginal Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5052 |
Hypospadia + Systostomi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5053 |
Ileal Condolt (Bricker) Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5054 |
Kasaai?s Operation Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5055 |
Kehamilan Abdomen Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5056 |
Keratoplasti Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5057 |
Keratoplasty Lamelar Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5058 |
Koledoko Jejunostomi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5059 |
Koreksi Fraktur Impresif Sederhana Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5060 |
Koreksi Hipospadia 1 tahap Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5061 |
Koreksi Impresif Fraktur Sederhana Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5062 |
Koreksi Scollosis Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5063 |
Laminektomi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5064 |
Laparotomi + Perlengkapan Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5065 |
Laparatomi VC Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5066 |
Laparscopy Operatif Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5067 |
Langirektomi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5068 |
Laringo Fisure/Eksplorasi Laring Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5069 |
Litoripsi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5070 |
Longitudinal Nefrolithotomi (Kadet) Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5071 |
Mandibulektomi Totalis Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5072 |
Mastektomi Bilateral Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5073 |
Mastoldektomi Radikal Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5074 |
Megacolon Hierchprung Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5075 |
Miles Operation Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5076 |
Miomektomi Multiple Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5077 |
Nefrektomi/Nefrorrhhapi Bilateral Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5078 |
Nefrolithotomi/Nefrostomi Bilateral Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5079 |
Nefropexie Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5080 |
Neurektomi Saraf Vidian Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5081 |
Open Nefrostomi dengan penyulit Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5082 |
Open Reduksi Fraktur/Dislokasi Lama Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5083 |
Operasi Besar Dengan Penyulit/ Pasang Alat Khusus Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5084 |
Operasi Kosmetik pada Wajah Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5085 |
Operasi pada Spondilitis Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5086 |
Operasi Perineum Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5087 |
Operasi Peyronie Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5088 |
Operasi Pullthrough Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5089 |
Operasi Vaskuler yang memerlukan Teknik Operasi Khusus Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5090 |
ORIF Multiple Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5091 |
Pankreatorrhapi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5092 |
Parotidektomi Bilateral Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5093 |
Pemasangan Implant Payudara Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5094 |
Pemasangan T Tube Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5095 |
Pembedahan Kompartemental Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5096 |
Pharyngeal Flap Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5097 |
Prnto Etmoidektomi (Ekstanasal) Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5098 |
PSA Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5099 |
Psoas Hiscth/Boari Flap Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5100 |
Pyeloplasti Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5101 |
Radikal Cystektomi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5102 |
Radikal Histerktomi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5103 |
Radikal Mastektomi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5104 |
Radikal Neck Desection Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5105 |
Radikal Nefrektomi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5106 |
Radikal Prostatektomi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5107 |
Rekanalisasi Tuba Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5108 |
Rekonstruksi Blassemeck Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5109 |
Rekonstruksi Defek Kompleks Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5110 |
Rekonstruksi Payudara Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5111 |
Rekonstruksi Vesica Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5112 |
Release CTEV Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5113 |
Repair Aneri Femoralis/Brachialis Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5114 |
Reparasi Fistula Vesiko Vaginal Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5115 |
Reparasi Kontraktur Kompleks Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5116 |
Reparasi/Rekontruksi Wajah kompleks Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5117 |
Reseksi Adenomiosis Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5118 |
Reseksi Partial Vesika Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5119 |
Revisi Drain VP Shunt Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5120 |
Rinotomi Lateralis Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5121 |
Rupture Uteri Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5122 |
Sachse (Complicated) Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5123 |
Salpingo Ophorektomi Bilateral Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5124 |
Sectio Sesaria Post SC + Tubektomi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5125 |
Seksio Cesaria + Histerektomi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5126 |
Splenektomi/Splenorrhapi Bilateral Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5127 |
Spodilitis Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5128 |
Staged Laparotomi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5129 |
Stapedektomi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5130 |
Tiroidektomi Total Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5131 |
Total Maksilektomi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5132 |
Trepanasi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5133 |
TUR Postat/Vesica Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5134 |
VP Shunt Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| N5135 |
Vulvektomi Kelas II |
Operasi |
|
- |
Non Aktif |
3290000 |
0 |
0 |
634500 |
493500 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2500000 |
282000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O-6-10-I-1 |
OPERASI PEMBEDAHAN CAESAR (RINGAN) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
1238260 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
495304 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-10-I-2 |
OPERASI PEMBEDAHAN CAESAR (RINGAN) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
1061360 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
424544 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-10-I-3 |
OPERASI PEMBEDAHAN CAESAR (RINGAN) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
884480 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
353792 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-10-II-1 |
OPERASI PEMBEDAHAN CAESAR (SEDANG) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
1309980 |
0 |
0 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
523992 |
100000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-10-II-2 |
OPERASI PEMBEDAHAN CAESAR (SEDANG) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
1122840 |
0 |
0 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
449136 |
100000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-10-II-3 |
OPERASI PEMBEDAHAN CAESAR (SEDANG) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
935700 |
0 |
0 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
374280 |
100000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-10-III-1 |
OPERASI PEMBEDAHAN CAESAR (BERAT) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
1537180 |
0 |
0 |
130000 |
0 |
0 |
0 |
0 |
0 |
0 |
614872 |
130000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-10-III-2 |
OPERASI PEMBEDAHAN CAESAR (BERAT) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
1317580 |
0 |
0 |
130000 |
0 |
0 |
0 |
0 |
0 |
0 |
527032 |
130000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-10-III-3 |
OPERASI PEMBEDAHAN CAESAR (BERAT) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
1098000 |
0 |
0 |
130000 |
0 |
0 |
0 |
0 |
0 |
0 |
439200 |
130000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-11-I-1 |
PERSALINAN VAGINAL DENGAN STERILISASI &/ DILATASI & KURET (RINGAN) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
673960 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
269584 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-11-I-2 |
PERSALINAN VAGINAL DENGAN STERILISASI &/ DILATASI & KURET (RINGAN) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
577680 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
231072 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-11-I-3 |
PERSALINAN VAGINAL DENGAN STERILISASI &/ DILATASI & KURET (RINGAN) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
481400 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
192560 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-11-II-1 |
PERSALINAN VAGINAL DENGAN STERILISASI &/ DILATASI & KURET (SEDANG) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
749040 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
299616 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-11-II-2 |
PERSALINAN VAGINAL DENGAN STERILISASI &/ DILATASI & KURET (SEDANG) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
642040 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
256816 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-11-II-3 |
PERSALINAN VAGINAL DENGAN STERILISASI &/ DILATASI & KURET (SEDANG) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
535020 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
214008 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-11-III-1 |
PERSALINAN VAGINAL DENGAN STERILISASI &/ DILATASI & KURET (BERAT) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
931820 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
372728 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-11-III-2 |
PERSALINAN VAGINAL DENGAN STERILISASI &/ DILATASI & KURET (BERAT) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
798700 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
319480 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-11-III-3 |
PERSALINAN VAGINAL DENGAN STERILISASI &/ DILATASI & KURET (BERAT) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
665580 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
266232 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-12-I-1 |
PERSALINAN VAGINAL DENGAN PROSEDUR SELAIN STERILISASI&/DILATASI (RINGAN) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
477500 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
191000 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-12-I-2 |
PERSALINAN VAGINAL DENGAN PROSEDUR SELAIN STERILISASI&/DILATASI (RINGAN) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
409280 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
163712 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-12-I-3 |
PERSALINAN VAGINAL DENGAN PROSEDUR SELAIN STERILISASI&/DILATASI (RINGAN) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
341060 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
136424 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-12-II-1 |
PERSALINAN VAGINAL DENGAN PROSEDUR SELAIN STERILISASI&/DILATASI (SEDANG) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
573460 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
229384 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-12-II-2 |
PERSALINAN VAGINAL DENGAN PROSEDUR SELAIN STERILISASI&/DILATASI (SEDANG) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
491540 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
196616 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-12-II-3 |
PERSALINAN VAGINAL DENGAN PROSEDUR SELAIN STERILISASI&/DILATASI (SEDANG) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
409620 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
163848 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-12-III-1 |
PERSALINAN VAGINAL DENGAN PROSEDUR SELAIN STERILISASI&/DILATASI (BERAT) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
720580 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
288232 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-12-III-2 |
PERSALINAN VAGINAL DENGAN PROSEDUR SELAIN STERILISASI&/DILATASI (BERAT) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
617640 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
247056 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-12-III-3 |
PERSALINAN VAGINAL DENGAN PROSEDUR SELAIN STERILISASI&/DILATASI (BERAT) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
514700 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
205880 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-13-I-1 |
PERSALINAN VAGINAL (RINGAN) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
423260 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
150000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-13-I-2 |
PERSALINAN VAGINAL (RINGAN) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
362780 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
150000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-13-I-3 |
PERSALINAN VAGINAL (RINGAN) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
302320 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
150000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-13-II-1 |
PERSALINAN VAGINAL (SEDANG) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
500940 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
150000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-13-II-2 |
PERSALINAN VAGINAL (SEDANG) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
429380 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
150000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-13-II-3 |
PERSALINAN VAGINAL (SEDANG) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
357820 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
150000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-13-III-1 |
PERSALINAN VAGINAL (BERAT) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
601140 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
150000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-13-III-2 |
PERSALINAN VAGINAL (BERAT) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
515260 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
150000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O-6-13-III-3 |
PERSALINAN VAGINAL (BERAT) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
429380 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
150000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| O1001 |
Angkat Implan Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1002 |
Angkat Wire Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1003 |
Apeks Reseksi Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1004 |
Bedah Flap Sederhana Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1005 |
Biopsi Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1006 |
Biopsi Ekstirpasi < 2 cm Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1007 |
Biopsi Insisi Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1008 |
Biopsi Uterovaginal Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1009 |
Bulektomi Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1010 |
Chalazion Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1011 |
Condiloma Accuminata Kecil Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1012 |
Deepening Sulcus Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1013 |
Dermabrasi Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1014 |
Eksisi Epulis Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1015 |
Eksisi Granuloma Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1016 |
Eksisi Keloid 2 ? 5 cm tanpa Skin Graft Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1017 |
Eksisi Kista Atheroma > 2 cm Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1018 |
Eksisi Mucocele Intra Oral Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1019 |
Eksisi Neuro Fibroma Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1020 |
Eksisi Nevus < 2 cm Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1021 |
Eksisi Skin Tag Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1022 |
Eksisi Tumor Kulit < 2 cm tanpa Skin Graft Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1023 |
Ekstirpasi Ganglion > 2 cm Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1024 |
Ekstirpasi Hordeolum Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1025 |
Ekstirpasi Kista Radikuler Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1026 |
Ekstirpasi Lipoma > 2 cm Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1027 |
Ekstraksi Corpus Alenium Eksploratif Pembedahan Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1028 |
Ekstraksi Kuku Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1029 |
Ekstraksi Polip Telinga Besar Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1030 |
Ekstraksi Uretrolithiasis glans Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1031 |
Elektrokauterisasi kondiloma sedikit Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1032 |
Fistulektomi Intra Oral Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1033 |
Frenectomi Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1034 |
Geneoscopy Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1035 |
Ginggivektomi Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1036 |
Insisi Abses Besar > 5 cm Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1037 |
Insisi Abses Fistel Preaurkularis Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1038 |
Insisi Abses Retroaurikularis Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1039 |
Insisi Abses Submandibularis Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1040 |
Insisi Abses Vaginal Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1041 |
Insisi Drainage Abses < 5 cm Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1042 |
Insisi Drainage Abses Peritonsiler Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1043 |
Insisi Drainage Abses Septum Hidung Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1044 |
Jahit Luka Palpebra Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1045 |
Keratometri Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1046 |
Krikotirostomi Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1047 |
Krikotirotomi Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1048 |
Lobuloplasti 1 Telinga Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1049 |
Marsupialisasi Ranula Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1050 |
Mucocele Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1051 |
Nekrotomi < 5cm Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1052 |
Odontectomi Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1053 |
Operculectomi Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1054 |
Parasintesa Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1055 |
Pasang dan lepas Implant Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1056 |
Penutupan Oroantral Fistula Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1057 |
Punksi Aspirasi Othaematoma Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1058 |
Reparasi Luka Robek Sederhana < 5 cm Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1059 |
Reposisi Sederhana Jari Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1060 |
Sirkumsisi Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O1061 |
Tandur Kulit < 1 cm Kelas III |
Operasi |
|
- |
Non Aktif |
385000 |
0 |
0 |
74250 |
57750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
33000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2001 |
Amputasi Jari Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2002 |
Abses Douglas/Punksi Drain Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2003 |
AV Shunt Cimino Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2004 |
Biopsi Ca Penis Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2005 |
Biopsi Kecil Mata Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2006 |
Biopsi Prostat Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2007 |
Biopsi Saraf Kutaneus/Otot Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2008 |
Cimono Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2009 |
Debrediment pada Luka Bakar Grade II <50 % Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2010 |
Eksisi ganglion poplitea Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2011 |
Eksisi Hemangioma < 5 cm Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2012 |
Eksisi Keloid > 5 cm tanpa Skin Graft Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2013 |
Eksisi Mamma Aberran Unilateral Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2014 |
Eksisi Tumor Kulit > 2 cm tanpa skin graft Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2015 |
Ekstirpasi Atheroma Telinga Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2016 |
Ekstirpasi Corpus Alineum dengan Narkose Umum Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2017 |
Ekstirpasi FAM < 3 cm Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2018 |
Ekstirpasi Fistel Preaurikularis Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2020 |
Ekstirpasi Fistel Preaurikularis dengan Lokal Anastesi Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2021 |
Ekstirpasi Nevus Mata Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2022 |
Ekstirpasi Polip Uterovaginal Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2023 |
Ekstraksi Benda Asing THT dalam Narkose Umum Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2024 |
Ekstraksi Kuku Multiple Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2025 |
Ekstraksi Litiasis dalam narkose Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2026 |
Her Hetching Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2027 |
Insisis Hematoma Vulva Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2028 |
Kuret Kondiloma Acuminatum Banyak Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2029 |
Marsupialisasi Bartholini Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2030 |
Mikrokuret Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2031 |
MOW/Sterilisasi/Tubektomi dgn Lokal Anastesi Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2032 |
Nefrostomi Percutan Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2034 |
Operasi Tumor Jinak Vulva Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2035 |
Papilopa Mata Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2036 |
Pasang Mini WSD Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2037 |
Pasang WSD Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2038 |
Probing Duktus Lakrimalis Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2039 |
Pteregium Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2040 |
Repair Tendon Sederhana Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2041 |
Reparasi Jaringan Parut sederhana Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2042 |
Reparasi Luka Robek Sederhana > 5 cm Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2043 |
Reposisi Faktur/Dislokasi dalam Narkose Umum Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2044 |
Seluruh Tindakan Sederhana dalam Narkose Umum Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2045 |
Sirkumsisi dengan Phymosis Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2046 |
Tracheostomi Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2047 |
Vasektomi Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2048 |
Vena Sectie Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O2049 |
Veruka Vulgaris Sedang Kelas III |
Operasi |
|
- |
Non Aktif |
665000 |
0 |
0 |
128250 |
99750 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
550000 |
57000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3001 |
Adeniodectomi Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3002 |
Amputasi Tangan atau Kaki Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3003 |
Apendektomi Simple Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3004 |
Bedah Flap Total Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3005 |
Biopsi Tumor Buli Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3006 |
BN/Ceilin?s Knife Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3007 |
Debrediment Fraktur Terbuka Grade I ? II Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3008 |
Debridement pada Luka Bakar Grade II > 50 % Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3009 |
Eksisi Chordae Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3010 |
Eksisi Kelenjar Submandibula Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3011 |
Eksisi Keloid > 5 cm dengan Skin Graft Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3012 |
Eksisi Tumor Kulit > 2 cm dengan Skin Graft Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3013 |
Eksplorasi Vagina Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3014 |
Ekstirpasi FAM > 3 cm Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3015 |
Ekstirpasi Kista ovarium < 5 cm Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3016 |
Ekstirpasi Mioma Geburt Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3017 |
Ekstirpasi Tumor Intra Oral Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3018 |
Ekstraksi Corpus Alineum THT (Sulit) Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3019 |
Ekstraksi Oorpolip (polip telinga) Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3020 |
Ekstraksi Polip Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3021 |
Ekstraksi Transokasi IUD Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3022 |
Enucleasi Kista Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3023 |
Excochilasi Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3024 |
Fiksasi Eksterna Sederhana Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3025 |
Fiksasi Interna Sederhana Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3026 |
Fistulektomi anus tanpa Penyulit Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3027 |
Flap Konjuctiva Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3028 |
Foto Coagulasi Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3029 |
Hidrotubasi Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3030 |
ICCE/ECCE Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3031 |
Insisi THT Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3032 |
Irigasi Sinus Maksilaris Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3033 |
Kolporafi Posterior/Perioneoplasty Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3034 |
Konisasi Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3035 |
Koreksi Priapismus Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3036 |
Kuretase Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3037 |
Labioptasti Unilateral Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3038 |
Laparoskopki Percobaan Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3039 |
Laparoskopki Sterilisasi Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3040 |
Laparotomi Sterilisasi Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3041 |
Lepas DJ Stent/Benda Asing Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3042 |
Lepas Plate Post ORIF Tulang Kecil Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3043 |
Meatotomi Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3044 |
MOW/Sterilisasi/Tubektomi dgn Narkose Umum Kelas III |
Operasi |
|
- |
Non Aktif |
1250000 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
375000 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3045 |
Odontectomy lebih dari 2 elemen Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3046 |
Open Cystostomi Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3047 |
Operasi Hernia tanpa Penyulit Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3048 |
Operasi Hidrokel Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3049 |
Operasi Kelainan Jari Sederhana Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3050 |
Orchidektomi Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3051 |
Parasintesa Mata Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3052 |
Pembukaan Hidung Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3053 |
Perineostomy Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3054 |
Potong Flap Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3055 |
Punksi Cairan Otak Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3056 |
Release Adhesi jari/telinga Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3057 |
Release Kontraktur tanpa Skin Graft Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3058 |
Repair Arteri Radialis/sederajat Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3059 |
Repair Luka Robek Sederhana pada Wajah Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3060 |
Reparasi Fistula Uretra Pasca Uretroplasti Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3061 |
Reparasi Luka Robek Kompleks Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3062 |
Reposisi Faktur Sederhana Tulang Hidung Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3063 |
Reposisi Tulang Hidung Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3064 |
Reposisi Uterus Pervaginam Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3065 |
Reshaping Torus/Tumor Tulang Intra Oral Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3066 |
Sirklase Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3067 |
Sistoskopi Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3068 |
Tandur Kulit Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3069 |
Tarsotomi Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3070 |
Terapi sklerosing pada Hemorrhoid Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3071 |
Tonsilektomi/Adenoidektomi Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3072 |
Tumor Konjungtiva Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3073 |
Tumor Palpebra Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3074 |
Turbinektomi Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3075 |
Varicocelektomi/Palomo Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3076 |
Vesicolithotomi (Sectio Alta) Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O3077 |
Eksplorasi Ocular/bola mata Kelas III |
Operasi |
|
- |
Non Aktif |
1540000 |
0 |
0 |
297000 |
231000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1200000 |
132000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4001 |
Ablasio Retina Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4002 |
Adenoidektomi + Tonsilektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4003 |
Adenolisis Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4004 |
Amputasi Serviks Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4005 |
Amputasi Transmedular Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4006 |
Amputasi tungkal Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4007 |
Angkat Pen/Screw Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4008 |
Anastomosis Ureter Unilateral Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4009 |
Apendektomi per Laparotomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4010 |
Argon Laser Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4011 |
Arthodosis HIP/Knee/Elbow Joint Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4012 |
Arthroscopy Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4013 |
Atrostomi + Adensidektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4014 |
Bedah Flap Regional Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4015 |
Biopsi Ginjal Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4016 |
Blok Resectie Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4017 |
Bronschoscopy Rigid Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4018 |
Caldwell Luc Anthrostomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4019 |
Cholecystektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4020 |
Congenital Fornix Plastik Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4021 |
Cryosurgeri Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4022 |
Cyclodia Termi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4023 |
Cystektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4024 |
Debridement Fraktur Terbuka Grade III Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4025 |
Debridement Luka Bakar Grade III > 10 % Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4026 |
Desitio Katarak Sekunder Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4027 |
Desitio Lentis Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4028 |
Disartikulasi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4029 |
Divertikulektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4030 |
Drainage Periureter Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4031 |
Eksentrasi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4032 |
Eksisi Duktus/Kista Urachus Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4033 |
Eksisi Hemangioma Kompleks Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4034 |
Eksisi Kista Ductus Tiroglosus Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4035 |
Eksisi Myelokel Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4036 |
Eksisi Tumor Intra Adomen tanpa Penyulit Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4037 |
Eksisi Tumor Jaringan Lunak dengan Penyulit Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4038 |
Eksisi Tumor Kulit Wajah dengan Graft Kulit Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4039 |
Eksplorasi Abses Parafaringeal Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4040 |
Eksplorasi Kista Branchial Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4041 |
Eksplorasi Kista Tiroid Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4042 |
Ekstraksi Katarak Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4043 |
Enuideasi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4044 |
Ethmoidektomi (Intranasal) Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4045 |
Extirpasi Plunging Ranula Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4046 |
Eviserasi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4047 |
Fistulektomi dengan Penyulit Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4048 |
Fraktur Rahang Sederhana Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4049 |
Gastrostomy/Feeding Jejunostomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4050 |
Glosektomi Totalis Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4051 |
Graft Kulit < 20 cm Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4052 |
Graft Pembuluh Darah Perifer Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4053 |
Harthmann?s Operation Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4054 |
Hemiglossektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4055 |
Hemimandibulektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4056 |
Hemorrhoidektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4057 |
Hepatorrhapi Sederhana Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4058 |
Hernia dengan Komplikasi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4059 |
Histerektomi Partial Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4060 |
Internal Urethrotomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4061 |
Iridektomi Perifer, Sektoral Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4062 |
Isthmolobektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4063 |
Isthobektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4064 |
Kehamilan Ektopik Terganggu (KET) Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4065 |
Kista Ovarium Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4066 |
Kolesistektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4067 |
Kolostomi/Ileostomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4068 |
Kolpodeksis Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4069 |
Koreksi Ekstropion/Entropion Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4070 |
Labioplasti Bilateral Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4071 |
Laparotomi Eksplorasi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4072 |
Maksilektomi Partialis Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4073 |
Manchester Fortegil Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4074 |
Mandibulektomi Marginalis Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4075 |
Mastektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4076 |
Miomektomi Simple Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4077 |
Myringoplasti Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4078 |
Nefrektomi Partial Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4079 |
Nefrektomi/Nefrorrhapi Unilateral Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4080 |
Nefrostomi terbuka Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4081 |
Nefro Ureterektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4082 |
Nefrolithotomi/Nefrostomi Unilateral Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4083 |
Open Prostatectomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4084 |
Open Renal Biopsi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4085 |
Operasi Intusussepsi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4086 |
Operasi Mikrotia Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4087 |
Operasi pada Osteomielitis Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4088 |
Operasi pada Torsio Testis Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4089 |
Operasi Sedang dengan Penyulit/ Pasang Alat Khusus Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4090 |
Operasi Tumor Ganas Ovarium Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4091 |
Operasi Tumor Jinak Ovarium Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4092 |
Orchidectomi Radikal Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4093 |
Orchidectomi Subkapsuler Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4094 |
Orchidectomi Ligasi Tinggi bilateral Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4095 |
Orchidopexi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4096 |
ORIF pada Fraktur tulang besar Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4097 |
Palatoplasti Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4098 |
Pankreatektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4099 |
Paritodektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4100 |
Pemadangan Pipa Shepard Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4101 |
Penektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4102 |
Penyakit Pembuluh Darah Perifer Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4103 |
Polip Ekstraksi + Etmiodektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4104 |
Polip Ekstraksi + Irigasi Sinus maksilaris Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4105 |
Potong Flap kompleks Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4106 |
Prostatektomi Retropubik Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4107 |
Regional Flap Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4108 |
Rekanalisasi Ruptural/Transkanal Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4109 |
Release Kontraktur dengan Graft Kulit Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4110 |
Repair Arteri Femoralis/Brachialis Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4111 |
Repair Fistel Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4112 |
Repair Luka Robek Kompleks pada Wajah Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4113 |
Repair Tendon Jari Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4114 |
Repair Tendon Kompleks Multiple Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4115 |
Reseksi Urachus Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4116 |
Reseksi Urachus + Anastomosis 1 Tempat Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4117 |
Ruptur Bola Mata Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4118 |
Ruptur/Fraktur Penis Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4119 |
Sachse Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4120 |
Salpingu Ophorektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4121 |
Sedot Lemak > 10 % Luas Tubuh Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4122 |
Segementektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4123 |
Seksio Sesaria Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4124 |
Septum Reseksi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4125 |
Sistoscopy + RPG + PSG DJ Stent Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4126 |
Spermatocele Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4127 |
Splenektomi Partial Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4128 |
Splenektomi/Splenorhapy Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4129 |
Suquestractomy Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4130 |
Surgaical Staging Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4131 |
Symblepharon Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4132 |
Timpano Plasti Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4133 |
Tosio Testis Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4134 |
Total/Partial glossektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4135 |
Trepaasi Trauma Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4136 |
TUR Prostat Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4137 |
TUR Tumor Buli Buli Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4138 |
Uretero Centanneostomy Unilateral Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4139 |
Ureterolitotomi Unilateral Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4140 |
Ureterostomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4141 |
Varicosektomi bilateral Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4142 |
Vasografi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O4143 |
Vitrektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2100000 |
0 |
0 |
405000 |
315000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1500000 |
180000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5001 |
Amputasi Eksisi Kista Brachiogenik Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5002 |
Amputasi Forequater Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5003 |
Amputasi Hind Quarter Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5004 |
Anastomosis Ureter Bilateral Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5005 |
Anastomosis Ureter dengan Usus Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5006 |
Angiofibroma Nasofaring Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5007 |
Anoplasty Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5008 |
Anteriox/Posterior Sklerotomi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5009 |
Arthrosplasty Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5010 |
Artrodesis Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5011 |
Bladder Neck Incision Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5012 |
Bypass Pembuluh Darah besar Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5013 |
Cyclodialysa Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5014 |
Dakrio-Sistorhinostomi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5015 |
Debulking Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5016 |
Dekompresia Fasialis Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5017 |
Diseksi Kelenjar Inguinal Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5018 |
Divertikulektomi Vesika Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5019 |
Eksenterasi Orbita Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5020 |
Eksisi Ensefalokel Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5021 |
Eksisi Hemanioma Kompleks Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5022 |
Eksisi Meningocele Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5023 |
Eksisi Muscle Group Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5024 |
Eksisi Tumor dengan Bedah Beku Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5025 |
Eksisi Tumor Intra Abdomen dengan Penyulit Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5026 |
Eksplorasi Koledekus dengan/tanpa pasang T Tube Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5027 |
Eksternal Ventrikular Drainase Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5028 |
Ekstirpasi Tumor Retrobulber Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5029 |
Ekstirpasi Tumor Sclap/Cranium Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5030 |
Ekstraksi Katarak dengan Mesin Phaco Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5031 |
Ekstraksi Linear Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5032 |
End to End Anastomose Ureter Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5033 |
Enukleasi Kista Ginjal Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5034 |
Extended Pyelolithektomi (Gilveme) Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5035 |
Fare Head Flap Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5036 |
Faringotomi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5037 |
Fistula Eterovisika Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5038 |
Fraktur Maksila/Zygoma Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5039 |
Fratur Rahang Mutiple/Kompleks Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5040 |
Ganti Sendi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5041 |
Gastrectomi (Billroth 1 & 2) Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5042 |
Goniotomi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5043 |
Gral Vena membuat A-V fistula Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5044 |
Graft Kulit > 20 cm Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5045 |
Grafting Ureter Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5046 |
Hemikolektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5047 |
Hemikolektomi parsial Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5048 |
Hemipelvektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5049 |
Hepatorrhapi Kompleks Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5050 |
Histerektomi Lokal Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5051 |
Histerektomi Vaginal Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5052 |
Hypospadia + Systostomi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5053 |
Ileal Condolt (Bricker) Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5054 |
Kasaai?s Operation Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5055 |
Kehamilan Abdomen Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5056 |
Keratoplasti Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5057 |
Keratoplasty Lamelar Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5058 |
Koledoko Jejunostomi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5059 |
Koreksi Fraktur Impresif Sederhana Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5060 |
Koreksi Hipospadia 1 tahap Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5061 |
Koreksi Impresif Fraktur Sederhana Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5062 |
Koreksi Scollosis Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5063 |
Laminektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5064 |
Laparotomi + Perlengkapan Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5065 |
Laparatomi VC Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5066 |
Laparscopy Operatif Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5067 |
Langirektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5068 |
Laringo Fisure/Eksplorasi Laring Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5069 |
Litoripsi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5070 |
Longitudinal Nefrolithotomi (Kadet) Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5071 |
Mandibulektomi Totalis Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5072 |
Mastektomi Bilateral Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5073 |
Mastoldektomi Radikal Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5074 |
Megacolon Hierchprung Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5075 |
Miles Operation Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5076 |
Miomektomi Multiple Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5077 |
Nefrektomi/Nefrorrhhapi Bilateral Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5078 |
Nefrolithotomi/Nefrostomi Bilateral Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5079 |
Nefropexie Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5080 |
Neurektomi Saraf Vidian Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5081 |
Open Nefrostomi dengan penyulit Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5082 |
Open Reduksi Fraktur/Dislokasi Lama Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5083 |
Operasi Besar Dengan Penyulit/ Pasang Alat Khusus Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5084 |
Operasi Kosmetik pada Wajah Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5085 |
Operasi pada Spondilitis Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5086 |
Operasi Perineum Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5087 |
Operasi Peyronie Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5088 |
Operasi Pullthrough Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5089 |
Operasi Vaskuler yang memerlukan Teknik Operasi Khusus Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5090 |
ORIF Multiple Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5091 |
Pankreatorrhapi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5092 |
Parotidektomi Bilateral Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5093 |
Pemasangan Implant Payudara Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5094 |
Pemasangan T Tube Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5095 |
Pembedahan Kompartemental Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5096 |
Pharyngeal Flap Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5097 |
Prnto Etmoidektomi (Ekstanasal) Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5098 |
PSA Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5099 |
Psoas Hiscth/Boari Flap Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5100 |
Pyeloplasti Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5101 |
Radikal Cystektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5102 |
Radikal Histerktomi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5103 |
Radikal Mastektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5104 |
Radikal Neck Desection Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5105 |
Radikal Nefrektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5106 |
Radikal Prostatektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5107 |
Rekanalisasi Tuba Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5108 |
Rekonstruksi Blassemeck Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5109 |
Rekonstruksi Defek Kompleks Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5110 |
Rekonstruksi Payudara Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5111 |
Rekonstruksi Vesica Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5112 |
Release CTEV Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5113 |
Repair Aneri Femoralis/Brachialis Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5114 |
Reparasi Fistula Vesiko Vaginal Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5115 |
Reparasi Kontraktur Kompleks Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5116 |
Reparasi/Rekontruksi Wajah kompleks Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5117 |
Reseksi Adenomiosis Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5118 |
Reseksi Partial Vesika Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5119 |
Revisi Drain VP Shunt Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5120 |
Rinotomi Lateralis Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5121 |
Rupture Uteri Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5122 |
Sachse (Complicated) Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5123 |
Salpingo Ophorektomi Bilateral Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5124 |
Sectio Sesaria Post SC + Tubektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5125 |
Seksio Cesaria + Histerektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5126 |
Splenektomi/Splenorrhapi Bilateral Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5127 |
Spodilitis Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5128 |
Staged Laparotomi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5129 |
Stapedektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5130 |
Tiroidektomi Total Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5131 |
Total Maksilektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5132 |
Trepanasi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5133 |
TUR Postat/Vesica Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5134 |
VP Shunt Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| O5135 |
Vulvektomi Kelas III |
Operasi |
|
- |
Non Aktif |
2660000 |
0 |
0 |
513000 |
399000 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
10000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
2200000 |
228000 |
0 |
0 |
10000 |
10000 |
0 |
0 |
| OBU001 |
TINDAKAN BEDAH UMUM KECIL VIP |
Operasi |
Kelas VIP |
UMUM |
Aktif |
1300000 |
77500 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
310000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
450000 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OBU002 |
TINDAKAN BEDAH UMUM KECIL KELAS 1 |
Operasi |
Kelas 1 |
UMUM |
Aktif |
1090000 |
73000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
292000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
450000 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OBU003 |
TINDAKAN BEDAH UMUM KECIL KELAS 2 |
Operasi |
Kelas 2 |
UMUM |
Aktif |
980000 |
66000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
264000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
450000 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OBU004 |
TINDAKAN BEDAH UMUM KECIL KELAS 3 |
Operasi |
Kelas 3 |
UMUM |
Aktif |
870000 |
59000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
236000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
450000 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OBU005 |
TINDAKAN BEDAH UMUM SEDANG VIP |
Operasi |
Kelas VIP |
UMUM |
Aktif |
1600000 |
100000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
400000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
450000 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OBU006 |
TINDAKAN BEDAH UMUM SEDANG KELAS 1 |
Operasi |
Kelas 1 |
UMUM |
Aktif |
1330000 |
88000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
352000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
450000 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OBU007 |
TINDAKAN BEDAH UMUM SEDANG KELAS 2 |
Operasi |
Kelas 2 |
UMUM |
Aktif |
1230000 |
76000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
304000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
450000 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OBU008 |
TINDAKAN BEDAH UMUM SEDANG KELAS 3 |
Operasi |
Kelas 3 |
UMUM |
Aktif |
1070000 |
64000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
256000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
450000 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OBU009 |
TINDAKAN BEDAH UMUM BESAR VIP |
Operasi |
Kelas VIP |
UMUM |
Aktif |
2100000 |
120000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
480000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
450000 |
120000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OBU010 |
TINDAKAN BEDAH UMUM BESAR KELAS 1 |
Operasi |
Kelas 1 |
UMUM |
Aktif |
1840000 |
105500 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
422000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
450000 |
120000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OBU011 |
TINDAKAN BEDAH UMUM BESAR KELAS 2 |
Operasi |
Kelas 2 |
UMUM |
Aktif |
1730000 |
93500 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
374000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
450000 |
120000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OBU012 |
TINDAKAN BEDAH UMUM BESAR KELAS 3 |
Operasi |
Kelas 3 |
UMUM |
Aktif |
1570000 |
81500 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
326000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
450000 |
120000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OBU013 |
TINDAKAN BEDAH UMUM KHUSUS VIP |
Operasi |
Kelas VIP |
UMUM |
Aktif |
3100000 |
195000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
780000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
450000 |
200000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OBU014 |
TINDAKAN BEDAH UMUM KHUSUS KELAS 1 |
Operasi |
Kelas 1 |
UMUM |
Aktif |
2830000 |
168000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
672000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
450000 |
200000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OBU015 |
TINDAKAN BEDAH KHUSUS UMUM KELAS 2 |
Operasi |
Kelas 2 |
UMUM |
Aktif |
2730000 |
146000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
584000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
450000 |
200000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OBU016 |
TINDAKAN BEDAH UMUM KHUSUS KELAS 3 |
Operasi |
Kelas 3 |
UMUM |
Aktif |
2570000 |
134000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
536000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
450000 |
200000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OPG001 |
OPERASI GYN SEDANG KELAS 3 |
Operasi |
Kelas 3 |
UMUM |
Aktif |
695000 |
64000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
256000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
250000 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OPG002 |
OPERASI GYN SEDANG KELAS 2 |
Operasi |
Kelas 2 |
UMUM |
Aktif |
830000 |
76000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
304000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
250000 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OPG003 |
OPERASI GYN SEDANG KELAS 1 |
Operasi |
Kelas 1 |
UMUM |
Aktif |
955000 |
88000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
352000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
250000 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OPG004 |
OPERASI GYN SEDANG VIP |
Operasi |
Kelas VIP |
UMUM |
Aktif |
1100000 |
100000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
400000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
250000 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OPG005 |
OPERASI GYN SEDANG VVIP |
Operasi |
Kelas VVIP |
UMUM |
Aktif |
1260000 |
132000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
528000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
250000 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OPG006 |
OPERASI GYN BESAR KELAS 3 |
Operasi |
Kelas 3 |
UMUM |
Aktif |
913750 |
81500 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
326000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
250000 |
120000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OPG007 |
OPERASI GYN BESAR KELAS 2 |
Operasi |
Kelas 2 |
UMUM |
Aktif |
1048750 |
93500 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
374000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
250000 |
120000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OPG008 |
OPERASI GYN BESAR KELAS 1 |
Operasi |
Kelas 1 |
UMUM |
Aktif |
1183750 |
105500 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
422000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
250000 |
120000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OPG009 |
OPERASI GYN BESAR VIP |
Operasi |
Kelas VIP |
UMUM |
Aktif |
1350000 |
120000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
480000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
250000 |
120000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OPG010 |
OPERASI GYN BESAR VVIP |
Operasi |
Kelas VVIP |
UMUM |
Aktif |
1510000 |
152000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
608000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
250000 |
120000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OPG011 |
OPERASI GYN KHUSUS KELAS 3 |
Operasi |
Kelas 3 |
UMUM |
Aktif |
1570000 |
134000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
536000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
250000 |
200000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OPG012 |
OPERASI GYN KHUSUS KELAS 2 |
Operasi |
Kelas 2 |
UMUM |
Aktif |
1705000 |
146000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
584000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
250000 |
200000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OPG013 |
OPERASI GYN KHUSUS KELAS 1 |
Operasi |
Kelas 1 |
UMUM |
Aktif |
1955000 |
168000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
672000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
250000 |
200000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OPG014 |
OPERASI GYN KHUSUS VIP |
Operasi |
Kelas VIP |
UMUM |
Aktif |
2287500 |
195000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
780000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
250000 |
200000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OPG015 |
OPERASI GYN KHUSUS VVIP |
Operasi |
Kelas VVIP |
UMUM |
Aktif |
2447500 |
227000 |
0 |
30000 |
0 |
0 |
0 |
0 |
0 |
0 |
908000 |
30000 |
0 |
0 |
0 |
0 |
0 |
600000 |
250000 |
200000 |
0 |
0 |
0 |
0 |
0 |
0 |
510000 |
0 |
| OPO001 |
OPERASI OBS BESAR KELAS 3 |
Operasi |
Kelas 3 |
UMUM |
Aktif |
913750 |
81500 |
0 |
30000 |
0 |
0 |
0 |
0 |
220000 |
0 |
326000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
155000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO002 |
OPERASI OBS BESAR KELAS 2 |
Operasi |
Kelas 2 |
UMUM |
Aktif |
1048750 |
93500 |
0 |
30000 |
0 |
0 |
0 |
0 |
255000 |
0 |
374000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
155000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO003 |
OPERASI OBS BESAR KELAS 1 |
Operasi |
Kelas 1 |
UMUM |
Aktif |
1183750 |
105500 |
0 |
30000 |
0 |
0 |
0 |
0 |
290000 |
0 |
422000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
155000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO004 |
OPERASI OBS BESAR VIP |
Operasi |
Kelas VIP |
UMUM |
Aktif |
1350000 |
120000 |
0 |
30000 |
0 |
0 |
0 |
0 |
325000 |
0 |
480000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
155000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO005 |
OPERASI OBS BESAR VVIP |
Operasi |
Kelas VVIP |
UMUM |
Aktif |
1510000 |
152000 |
0 |
30000 |
0 |
0 |
0 |
0 |
360000 |
0 |
608000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
155000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO006 |
OPERASI OBS BESAR dg PENYULIT KELAS 3 |
Operasi |
Kelas 3 |
UMUM |
Aktif |
1124688 |
98500 |
0 |
30000 |
0 |
0 |
0 |
0 |
220000 |
0 |
394000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
190000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO007 |
OPERASI OBS BESAR dg PENYULIT KELAS 2 |
Operasi |
Kelas 2 |
UMUM |
Aktif |
1290938 |
112800 |
0 |
30000 |
0 |
0 |
0 |
0 |
255000 |
0 |
451200 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
190000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO008 |
OPERASI OBS BESAR dg PENYULIT KELAS 1 |
Operasi |
Kelas 1 |
UMUM |
Aktif |
1457188 |
127400 |
0 |
30000 |
0 |
0 |
0 |
0 |
290000 |
0 |
509600 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
190000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO009 |
OPERASI OBS BESAR dg PENYULIT VIP |
Operasi |
Kelas VIP |
UMUM |
Aktif |
1662500 |
145000 |
0 |
30000 |
0 |
0 |
0 |
0 |
325000 |
0 |
580000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
190000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO010 |
OPERASI OBS BESAR dg PENYULIT VVIP |
Operasi |
Kelas VVIP |
UMUM |
Aktif |
1822500 |
177000 |
0 |
30000 |
0 |
0 |
0 |
0 |
360000 |
0 |
708000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
190000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO011 |
OPERASI OBS KHUSUS KELAS 3 |
Operasi |
Kelas 3 |
UMUM |
Aktif |
1570000 |
134000 |
0 |
30000 |
0 |
0 |
0 |
0 |
220000 |
0 |
536000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
245000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO012 |
OPERASI OBS KHUSUS KELAS 2 |
Operasi |
Kelas 2 |
UMUM |
Aktif |
1705000 |
146000 |
0 |
30000 |
0 |
0 |
0 |
0 |
255000 |
0 |
584000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
245000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO013 |
OPERASI OBS KHUSUS KELAS 1 |
Operasi |
Kelas 1 |
UMUM |
Aktif |
1965000 |
168000 |
0 |
30000 |
0 |
0 |
0 |
0 |
290000 |
0 |
672000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
245000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO014 |
OPERASI OBS KHUSUS KELAS VIP |
Operasi |
Kelas VIP |
UMUM |
Aktif |
2287500 |
195000 |
0 |
30000 |
0 |
0 |
0 |
0 |
325000 |
0 |
780000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
245000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO015 |
OPERASI OBS KHUSUS KELAS VVIP |
Operasi |
Kelas VVIP |
UMUM |
Aktif |
2447500 |
227000 |
0 |
30000 |
0 |
0 |
0 |
0 |
360000 |
0 |
908000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
245000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO016 |
OPERASI OBS DUA TINDAKAN BESAR KELAS 3 |
Operasi |
Kelas 3 |
UMUM |
Aktif |
1626250 |
138500 |
0 |
30000 |
0 |
0 |
0 |
0 |
220000 |
0 |
554000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
290000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO017 |
OPERASI OBS DUA TINDAKAN BESAR KELAS 2 |
Operasi |
Kelas 2 |
UMUM |
Aktif |
1861250 |
158000 |
0 |
30000 |
0 |
0 |
0 |
0 |
255000 |
0 |
634000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
290000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO018 |
OPERASI OBS DUA TINDAKAN BESAR KELAS 1 |
Operasi |
Kelas 1 |
UMUM |
Aktif |
2121250 |
180500 |
0 |
30000 |
0 |
0 |
0 |
0 |
290000 |
0 |
722000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
290000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO019 |
OPERASI OBS DUA TINDAKAN BESAR VIP |
Operasi |
Kelas VIP |
UMUM |
Aktif |
2443750 |
207500 |
0 |
30000 |
0 |
0 |
0 |
0 |
325000 |
0 |
830000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
290000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO020 |
OPERASI OBS DUA TINDAKAN BESAR VVIP |
Operasi |
Kelas VVIP |
UMUM |
Aktif |
2603750 |
239500 |
0 |
30000 |
0 |
0 |
0 |
0 |
360000 |
0 |
958000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
290000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO021 |
OPERASI OBS DUA TINDAKAN BESAR RABER BEDAH SEDANG KELAS 3 |
Operasi |
Kelas 3 |
UMUM |
Aktif |
1626250 |
138500 |
1070000 |
30000 |
0 |
0 |
0 |
0 |
220000 |
0 |
554000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
290000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO022 |
OPERASI OBS DUA TINDAKAN BESAR RABER BEDAH SEDANG KELAS 2 |
Operasi |
Kelas 2 |
UMUM |
Aktif |
1861250 |
158500 |
1230000 |
30000 |
0 |
0 |
0 |
0 |
255000 |
0 |
634000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
290000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO023 |
OPERASI OBS DUA TINDAKAN BESAR RABER BEDAH SEDANG KELAS 1 |
Operasi |
Kelas 1 |
UMUM |
Aktif |
2121250 |
180500 |
1340000 |
30000 |
0 |
0 |
0 |
0 |
290000 |
0 |
722000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
290000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO024 |
OPERASI OBS DUA TINDAKAN BESAR RABER BEDAH SEDANG KELAS VIP |
Operasi |
Kelas VIP |
UMUM |
Aktif |
2443750 |
207500 |
1600000 |
30000 |
0 |
0 |
0 |
0 |
325000 |
0 |
830000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
290000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OPO025 |
OPERASI OBS DUA TINDAKAN BESAR RABER BEDAH SEDANG KELAS VVIP |
Operasi |
Kelas VVIP |
UMUM |
Aktif |
2603750 |
239500 |
1760000 |
30000 |
0 |
0 |
0 |
0 |
360000 |
0 |
958000 |
30000 |
0 |
0 |
0 |
0 |
0 |
1210000 |
450000 |
290000 |
0 |
15000 |
0 |
0 |
0 |
0 |
580000 |
0 |
| OSC001 |
Operasi Seksio Sesaria MINOR VIP |
Operasi |
Kelas VIP |
UMUM |
Aktif |
312500 |
0 |
0 |
40000 |
0 |
0 |
0 |
0 |
0 |
0 |
125000 |
40000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC002 |
Operasi Seksio Sesaria MINOR KELAS I |
Operasi |
Kelas 1 |
UMUM |
Aktif |
250000 |
0 |
0 |
40000 |
0 |
0 |
0 |
0 |
0 |
0 |
100000 |
40000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC003 |
Operasi Seksio Sesaria MINOR KELAS II |
Operasi |
Kelas 2 |
UMUM |
Aktif |
218750 |
0 |
0 |
40000 |
0 |
0 |
0 |
0 |
0 |
0 |
87500 |
40000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC004 |
Operasi Seksio Sesaria MINOR KELAS III |
Operasi |
Kelas 3 |
UMUM |
Aktif |
187500 |
0 |
0 |
40000 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
40000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC005 |
Operasi Seksio Sesaria KECIL VIP |
Operasi |
Kelas VIP |
UMUM |
Aktif |
937500 |
0 |
0 |
80000 |
0 |
0 |
0 |
0 |
0 |
0 |
375000 |
65000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC006 |
Operasi Seksio Sesaria KECIL KELAS 1 |
Operasi |
Kelas 1 |
UMUM |
Aktif |
812500 |
0 |
0 |
80000 |
0 |
0 |
0 |
0 |
0 |
0 |
325000 |
65000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC007 |
Operasi Seksio Sesaria KECIL KELAS 2 |
Operasi |
Kelas 2 |
UMUM |
Aktif |
687500 |
0 |
0 |
80000 |
0 |
0 |
0 |
0 |
0 |
0 |
275000 |
65000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC008 |
Operasi Seksio Sesaria KECIL KELAS 3 |
Operasi |
Kelas 3 |
UMUM |
Aktif |
562500 |
0 |
0 |
80000 |
0 |
0 |
0 |
0 |
0 |
0 |
225000 |
65000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC009 |
Operasi Seksio Sesaria SEDANG VIP |
Operasi |
Kelas VIP |
UMUM |
Aktif |
1125000 |
0 |
0 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
450000 |
75000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC010 |
Operasi Seksio Sesaria SEDANG KELAS 1 |
Operasi |
Kelas 1 |
UMUM |
Aktif |
937500 |
0 |
0 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
375000 |
75000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC011 |
Operasi Seksio Sesaria SEDANG KELAS 2 |
Operasi |
Kelas 2 |
UMUM |
Aktif |
875000 |
0 |
0 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
350000 |
75000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC012 |
Operasi Seksio Sesaria SEDANG KELAS 3 |
Operasi |
Kelas 3 |
UMUM |
Aktif |
750000 |
0 |
0 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
300000 |
75000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC013 |
Operasi Seksio Sesaria BESAR VIP |
Operasi |
Kelas VIP |
UMUM |
Aktif |
1250000 |
0 |
0 |
125000 |
0 |
0 |
0 |
0 |
0 |
0 |
500000 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC014 |
Operasi Seksio Sesaria BESAR KELAS 1 |
Operasi |
Kelas 1 |
UMUM |
Aktif |
1093750 |
0 |
0 |
125000 |
0 |
0 |
0 |
0 |
0 |
0 |
437500 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC015 |
Operasi Seksio Sesaria BESAR KELAS 2 |
Operasi |
Kelas 2 |
UMUM |
Aktif |
968750 |
0 |
0 |
125000 |
0 |
0 |
0 |
0 |
0 |
0 |
387500 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC016 |
Operasi Seksio Sesaria BESAR KELAS 3 |
Operasi |
Kelas 3 |
UMUM |
Aktif |
843750 |
0 |
0 |
125000 |
0 |
0 |
0 |
0 |
0 |
0 |
337500 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC017 |
Operasi Seksio Sesaria BESAR DENGAN PENYULIT VIP |
Operasi |
Kelas VIP |
UMUM |
Aktif |
1562500 |
0 |
0 |
150000 |
0 |
0 |
0 |
0 |
0 |
0 |
625000 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC018 |
Operasi Seksio Sesaria BESAR DENGAN PENYULIT KELAS 1 |
Operasi |
Kelas 1 |
UMUM |
Aktif |
1367188 |
0 |
0 |
150000 |
0 |
0 |
0 |
0 |
0 |
0 |
547000 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC019 |
Operasi Seksio Sesaria BESAR DENGAN PENYULIT KELAS 2 |
Operasi |
Kelas 2 |
UMUM |
Aktif |
1210938 |
0 |
0 |
150000 |
0 |
0 |
0 |
0 |
0 |
0 |
484000 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC020 |
Operasi Seksio Sesaria BESAR DENGAN PENYULIT KELAS 3 |
Operasi |
Kelas 3 |
UMUM |
Aktif |
1054688 |
0 |
0 |
150000 |
0 |
0 |
0 |
0 |
0 |
0 |
422500 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC021 |
Operasi Seksio Sesaria KHUSUS VIP |
Operasi |
Kelas VIP |
UMUM |
Aktif |
2187500 |
0 |
0 |
175000 |
0 |
0 |
0 |
0 |
0 |
0 |
875000 |
130000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC022 |
Operasi Seksio Sesaria KHUSUS KELAS 1 |
Operasi |
Kelas 1 |
UMUM |
Aktif |
1875000 |
0 |
0 |
175000 |
0 |
0 |
0 |
0 |
0 |
0 |
750000 |
130000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC023 |
Operasi Seksio Sesaria KHUSUS KELAS 2 |
Operasi |
Kelas 2 |
UMUM |
Aktif |
1625000 |
0 |
0 |
175000 |
0 |
0 |
0 |
0 |
0 |
0 |
650000 |
130000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC024 |
Operasi Seksio Sesaria KHUSUS KELAS 3 |
Operasi |
Kelas 3 |
UMUM |
Aktif |
1500000 |
0 |
0 |
175000 |
0 |
0 |
0 |
0 |
0 |
0 |
600000 |
130000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC025 |
Operasi Seksio Sesaria DUA TINDAKAN BESAR VIP |
Operasi |
Kelas VIP |
UMUM |
Aktif |
2343750 |
0 |
0 |
175000 |
0 |
0 |
0 |
0 |
0 |
0 |
937500 |
130000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC026 |
Operasi Seksio Sesaria DUA TINDAKAN BESAR KELAS 1 |
Operasi |
Kelas 1 |
UMUM |
Aktif |
2031250 |
0 |
0 |
175000 |
0 |
0 |
0 |
0 |
0 |
0 |
812500 |
130000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC027 |
Operasi Seksio Sesaria DUA TINDAKAN BESAR KELAS 2 |
Operasi |
Kelas 2 |
UMUM |
Aktif |
1781250 |
0 |
0 |
175000 |
0 |
0 |
0 |
0 |
0 |
0 |
712500 |
130000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| OSC028 |
Operasi Seksio Sesaria DUA TINDAKAN BESAR KELAS 3 |
Operasi |
Kelas 3 |
UMUM |
Aktif |
1556250 |
0 |
0 |
175000 |
0 |
0 |
0 |
0 |
0 |
0 |
622500 |
130000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| PK000006 |
Paket Persalinan SC Kelas 1 |
Operasi |
Kelas 1 |
UMUM |
Aktif |
1400000 |
0 |
0 |
100000 |
100000 |
0 |
0 |
0 |
300000 |
0 |
490000 |
100000 |
0 |
0 |
0 |
0 |
0 |
320000 |
0 |
6850000 |
0 |
0 |
0 |
0 |
0 |
0 |
840000 |
0 |
| PK000007 |
Paket Persalinan SC Kelas 2 |
Operasi |
Kelas 2 |
UMUM |
Aktif |
1200000 |
0 |
0 |
100000 |
100000 |
0 |
0 |
0 |
300000 |
0 |
420000 |
100000 |
0 |
0 |
0 |
0 |
0 |
320000 |
0 |
6380000 |
0 |
0 |
0 |
0 |
0 |
0 |
580000 |
0 |
| PK000008 |
Paket Persalinan SC Kelas 3 |
Operasi |
Kelas 3 |
UMUM |
Aktif |
1000000 |
0 |
0 |
100000 |
100000 |
0 |
0 |
0 |
300000 |
0 |
350000 |
100000 |
0 |
0 |
0 |
0 |
0 |
320000 |
0 |
6010000 |
0 |
0 |
0 |
0 |
0 |
0 |
720000 |
0 |
| PK000009 |
Paket Persalinan Partus Kelas 1 |
Operasi |
Kelas 1 |
UMUM |
Aktif |
1150000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
200000 |
0 |
3440000 |
0 |
0 |
0 |
0 |
0 |
0 |
410000 |
0 |
| PK000010 |
Paket Persalinan Partus Kelas 2 |
Operasi |
Kelas 2 |
UMUM |
Aktif |
925000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
200000 |
0 |
3115000 |
0 |
0 |
0 |
0 |
0 |
0 |
460000 |
0 |
| PK000011 |
Paket Persalinan Partus Kelas 3 |
Operasi |
Kelas 3 |
UMUM |
Aktif |
800000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
200000 |
0 |
2940000 |
0 |
0 |
0 |
0 |
0 |
0 |
460000 |
0 |
| TVK001 |
PARTUS NORMAL KELAS 3 TANPA PENYULIT |
Kebidanan |
Kelas 3 |
UMUM |
Aktif |
632500 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
100000 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK002 |
PARTUS NORMAL KELAS 2 TANPA PENYULIT |
Kebidanan |
Kelas 2 |
UMUM |
Aktif |
767500 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
125000 |
125000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK003 |
PARTUS NORMAL KELAS 1 TANPA PENYULIT |
Kebidanan |
Kelas 1 |
UMUM |
Aktif |
902500 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
150000 |
150000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK004 |
PARTUS NORMAL VIP TANPA PENYULIT |
Kebidanan |
Kelas VIP |
UMUM |
Aktif |
1037500 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
175000 |
175000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK005 |
PARTUS NORMAL VVIP TANPA PENYULIT |
Kebidanan |
Kelas VVIP |
UMUM |
Aktif |
1272500 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
200000 |
200000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK006 |
PARTUS NORMAL (BIDAN) KELAS 3 |
Kebidanan |
Kelas 3 |
UMUM |
Aktif |
320000 |
0 |
0 |
0 |
0 |
0 |
450000 |
0 |
0 |
0 |
0 |
0 |
0 |
37500 |
18500 |
0 |
0 |
100000 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
150000 |
0 |
| TVK007 |
PARTUS NORMAL (BIDAN) KELAS 2 |
Kebidanan |
Kelas 2 |
UMUM |
Aktif |
330000 |
0 |
0 |
0 |
0 |
0 |
450000 |
0 |
0 |
0 |
0 |
0 |
0 |
43500 |
21500 |
0 |
0 |
125000 |
125000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
150000 |
0 |
| TVK008 |
PARTUS NORMAL (BIDAN) KELAS 1 |
Kebidanan |
Kelas 1 |
UMUM |
Aktif |
340000 |
0 |
0 |
0 |
0 |
0 |
450000 |
0 |
0 |
0 |
0 |
0 |
0 |
50000 |
25000 |
0 |
0 |
150000 |
150000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
150000 |
0 |
| TVK009 |
PARTUS NORMAL (BIDAN) VIP |
Kebidanan |
Kelas VIP |
UMUM |
Aktif |
350000 |
0 |
0 |
0 |
0 |
0 |
450000 |
0 |
0 |
0 |
0 |
0 |
0 |
62500 |
31000 |
0 |
0 |
175000 |
175000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
150000 |
0 |
| TVK010 |
PARTUS NORMAL (BIDAN) VVIP |
Kebidanan |
Kelas VVIP |
UMUM |
Aktif |
360000 |
0 |
0 |
0 |
0 |
0 |
450000 |
0 |
0 |
0 |
0 |
0 |
0 |
87500 |
43500 |
0 |
0 |
200000 |
200000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
150000 |
0 |
| TVK011 |
PARTUS NORMAL INFEKSIUS KELAS 3 |
Kebidanan |
Kelas 3 |
UMUM |
Aktif |
820000 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
100000 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK012 |
PARTUS NORMAL INFEKSIUS KELAS 2 |
Kebidanan |
Kelas 2 |
UMUM |
Aktif |
955000 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
125000 |
125000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK013 |
PARTUS NORMAL INFEKSIUS KELAS 1 |
Kebidanan |
Kelas 1 |
UMUM |
Aktif |
1027500 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
150000 |
150000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK014 |
PARTUS NORMAL INFEKSIUS VIP |
Kebidanan |
Kelas VIP |
UMUM |
Aktif |
1225000 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
175000 |
175000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK015 |
PARTUS NORMAL INFEKSIUS VVIP |
Kebidanan |
Kelas VVIP |
UMUM |
Aktif |
1535000 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
200000 |
200000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK016 |
PARTUS NORMAL IUFD KELAS 3 |
Kebidanan |
Kelas 3 |
UMUM |
Aktif |
820000 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
100000 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK017 |
PARTUS NORMAL IUFD KELAS 2 |
Kebidanan |
Kelas 2 |
UMUM |
Aktif |
955000 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
125000 |
125000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK018 |
PARTUS NORMAL IUFD KELAS 1 |
Kebidanan |
Kelas 1 |
UMUM |
Aktif |
1027500 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
150000 |
150000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK019 |
PARTUS NORMAL IUFD VIP |
Kebidanan |
Kelas VIP |
UMUM |
Aktif |
1225000 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
175000 |
175000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK020 |
PARTUS NORMAL IUFD VVIP |
Kebidanan |
Kelas VVIP |
UMUM |
Aktif |
1535000 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
200000 |
200000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK021 |
PARTUS NORMAL + PENYULIT KELAS 3 |
Kebidanan |
Kelas 3 |
UMUM |
Aktif |
820000 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
100000 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK022 |
PARTUS NORMAL + PENYULIT KELAS 2 |
Kebidanan |
Kelas 2 |
UMUM |
Aktif |
955000 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
125000 |
125000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK023 |
PARTUS NORMAL + PENYULIT KELAS 1 |
Kebidanan |
Kelas 1 |
UMUM |
Aktif |
1027500 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
150000 |
150000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK024 |
PARTUS NORMAL + PENYULIT VIP |
Kebidanan |
Kelas VIP |
UMUM |
Aktif |
1225000 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
175000 |
175000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK025 |
PARTUS NORMAL + PENYULIT VVIP |
Kebidanan |
Kelas VVIP |
UMUM |
Aktif |
1535000 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
200000 |
200000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK026 |
PARTUS NORMAL + BEKAS SC KELAS 3 |
Kebidanan |
Kelas 3 |
UMUM |
Aktif |
913750 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
100000 |
100000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK027 |
PARTUS NORMAL + BEKAS SC KELAS 2 |
Kebidanan |
Kelas 2 |
UMUM |
Aktif |
1048750 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
125000 |
125000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK028 |
PARTUS NORMAL + BEKAS SC KELAS 1 |
Kebidanan |
Kelas 1 |
UMUM |
Aktif |
1183750 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
150000 |
150000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK029 |
PARTUS NORMAL + BEKAS SC VIP |
Kebidanan |
Kelas VIP |
UMUM |
Aktif |
1350000 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
175000 |
175000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| TVK030 |
PARTUS NORMAL + BEKAS SC VVIP |
Kebidanan |
Kelas VVIP |
UMUM |
Aktif |
1585000 |
0 |
0 |
0 |
0 |
0 |
360000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
200000 |
200000 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
75000 |
0 |
| W-4-13-I-1 |
ABORTUS (RINGAN) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
244000 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
97600 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-13-I-2 |
ABORTUS (RINGAN) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
209140 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
83656 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-13-I-3 |
ABORTUS (RINGAN) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
174280 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
69712 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-13-II-1 |
ABORTUS (SEDANG) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
333320 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
133328 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-13-II-2 |
ABORTUS (SEDANG) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
285700 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
114280 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-13-II-3 |
ABORTUS (SEDANG) KELAS 3 |
Operasi |
Kelas 1 |
- |
Aktif |
238080 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
95232 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-13-III-1 |
ABORTUS (BERAT) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
414500 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
165800 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-13-III-2 |
ABORTUS (BERAT) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
355280 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
142112 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-13-III-3 |
ABORTUS (BERAT) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
296060 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
118424 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-14-I-1 |
ABORTUS MENGANCAM (RINGAN) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
326080 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
130432 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-14-I-2 |
ABORTUS MENGANCAM (RINGAN) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
279500 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
111800 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-14-I-3 |
ABORTUS MENGANCAM (RINGAN) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
232920 |
0 |
0 |
55000 |
0 |
0 |
0 |
0 |
0 |
0 |
93168 |
55000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-14-II-1 |
ABORTUS MENGANCAM (SEDANG) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
388120 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
155248 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-14-II-2 |
ABORTUS MENGANCAM (SEDANG) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
332680 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
133072 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-14-II-3 |
ABORTUS MENGANCAM (SEDANG) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
277220 |
0 |
0 |
70000 |
0 |
0 |
0 |
0 |
0 |
0 |
110888 |
70000 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-14-III-1 |
ABORTUS MENGANCAM (BERAT) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
496540 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
198616 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-14-III-2 |
ABORTUS MENGANCAM (BERAT) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
425620 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
170248 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-14-III-3 |
ABORTUS MENGANCAM (BERAT) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
354680 |
0 |
0 |
90000 |
0 |
0 |
0 |
0 |
0 |
0 |
141872 |
90000 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-15-I-1 |
PERSALINAN FALSE LABOR (RINGAN) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
432400 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-15-I-2 |
PERSALINAN FALSE LABOR (RINGAN) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
370620 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-15-I-3 |
PERSALINAN FALSE LABOR (RINGAN) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
308860 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-15-II-1 |
PERSALINAN FALSE LABOR (SEDANG) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
480220 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-15-II-2 |
PERSALINAN FALSE LABOR (SEDANG) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
411620 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-15-II-3 |
PERSALINAN FALSE LABOR (SEDANG) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
343020 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
319000 |
86500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-15-III-1 |
PERSALINAN FALSE LABOR (BERAT) KELAS 1 |
Operasi |
Kelas 1 |
- |
Aktif |
664880 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-15-III-2 |
PERSALINAN FALSE LABOR (BERAT) KELAS 2 |
Operasi |
Kelas 2 |
- |
Aktif |
569900 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| W-4-15-III-3 |
PERSALINAN FALSE LABOR (BERAT) KELAS 3 |
Operasi |
Kelas 3 |
- |
Aktif |
474920 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
319000 |
185500 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |